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General NPI Number Information
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NPI Number | 1982952651
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Entity Type | Organization
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Legal Business Name | TOGETHER AT HOME
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Dates
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Enumeration Date | 08/28/2012
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Last Update Date | 08/28/2012
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Provider Practice Location Address
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Address Line | 1104 CORPORATE WAY SUITE 214
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City | SACRAMENTO
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State | CA
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Zip | 95831-3875
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Country | US
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Telephone | 916-429-3268
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Fax | 916-429-3269
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Provider Business Mailing Address
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Address Line | 1104 CORPORATE WAY SUITE 214
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City | SACRAMENTO
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State | CA
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Zip | 95831-3875
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Country | US
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Telephone | 916-429-3268
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Fax | 916-429-3269
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Authorized Official
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Title or Position | OPERATIONS AND SALES ADMINISTRATOR
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Name | THERESA MOSHER
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Credential | CNA
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Telephone | 916-429-3268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 1012249
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License Number State | CA
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