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General NPI Number Information
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NPI Number | 1053858076
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Entity Type | Organization
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Legal Business Name | COACH NURSING, INC
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Dates
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Enumeration Date | 01/28/2017
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Last Update Date | 01/28/2017
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Provider Practice Location Address
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Address Line | 1405 COMMERCIAL WAY SUITE 100
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City | BAKERSFIELD
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State | CA
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Zip | 93309-0620
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Country | US
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Telephone | 661-428-1567
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Fax | 800-862-2668
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Provider Business Mailing Address
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Address Line | 27321 DEERTRAIL DR
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City | TEHACHAPI
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State | CA
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Zip | 93561-7448
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Country | US
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Telephone | 661-428-1567
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Fax | 800-862-2668
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MS. TONI M KOVAC
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Credential | RN
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Telephone | 661-428-1567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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