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General NPI Number Information
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NPI Number | 1013520840
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Entity Type | Organization
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Legal Business Name | ISHCA CORPORATION
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Dates
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Enumeration Date | 08/31/2020
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Last Update Date | 12/15/2020
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Provider Practice Location Address
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Address Line | 2335 W FOOTHILL BLVD
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City | UPLAND
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State | CA
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Zip | 91786-3575
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Country | US
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Telephone | 909-920-0333
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Fax | 909-920-3777
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Provider Business Mailing Address
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Address Line | 2335 W FOOTHILL BLVD
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City | UPLAND
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State | CA
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Zip | 91786-3575
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Country | US
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Telephone | 909-920-0333
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Fax | 909-920-3777
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Authorized Official
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Title or Position | DIRECTOR
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Name | INDRANI GHOSH
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Credential |
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Telephone | 909-317-7166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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