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General NPI Number Information
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NPI Number | 1033507082
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Entity Type | Organization
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Legal Business Name | C&C SENIOR CARE FOUNDATION INC.
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Dates
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Enumeration Date | 12/29/2014
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Last Update Date | 12/29/2014
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Provider Practice Location Address
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Address Line | 451 E CARSON PLAZA DR SUITE 105
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City | CARSON
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State | CA
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Zip | 90746-3247
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Country | US
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Telephone | 310-354-0031
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Fax | 310-354-3939
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Provider Business Mailing Address
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Address Line | 451 E CARSON PLAZA DR SUITE 105
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City | CARSON
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State | CA
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Zip | 90746-3247
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Country | US
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Telephone | 310-354-0031
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Fax | 310-354-3939
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS ANGELICA C PICHAY
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Credential | MBA
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Telephone | 310-354-0031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State | CA
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