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General NPI Number Information
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NPI Number | 1033365309
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Entity Type | Organization
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Legal Business Name | MARLENE MALAGUIT DE CASTRO
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Dates
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Enumeration Date | 08/18/2008
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Last Update Date | 07/27/2010
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Provider Practice Location Address
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Address Line | 159 E HUNTINGTON DR UNIT 4
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City | ARCADIA
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State | CA
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Zip | 91006-3224
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Country | US
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Telephone | 626-446-5468
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Fax | 626-446-7068
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Provider Business Mailing Address
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Address Line | 159 E HUNTINGTON DR UNIT 4
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City | ARCADIA
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State | CA
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Zip | 91006-3224
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Country | US
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Telephone | 626-446-5468
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Fax | 626-446-7068
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Authorized Official
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Title or Position | OWNER/ CEO
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Name | MRS. MARLENE DE CASTRO
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Credential | RN
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Telephone | 626-446-5468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 059163
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License Number State | CA
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