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General NPI Number Information
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NPI Number | 1003889270
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Entity Type | Organization
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Legal Business Name | KADENCE HEALTHCARE, INC
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Dates
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Enumeration Date | 02/09/2006
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Last Update Date | 09/06/2022
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Provider Practice Location Address
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Address Line | 10840 WALKER ST
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City | CYPRESS
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State | CA
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Zip | 90630-5011
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Country | US
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Telephone | 714-220-0071
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Fax | 714-484-6908
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Provider Business Mailing Address
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Address Line | 10840 WALKER ST
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City | CYPRESS
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State | CA
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Zip | 90630-5011
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Country | US
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Telephone | 714-220-0071
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Fax | 714-484-6908
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Authorized Official
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Title or Position | CEO
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Name | MR. GREG D KAHN
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Credential |
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Telephone | 714-220-0071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 103823
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 103823
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 103823
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License Number State | CA
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