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General NPI Number Information
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NPI Number | 1063950780
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Entity Type | Organization
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Legal Business Name | HEART TO HEARTS CARE
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Dates
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Enumeration Date | 02/01/2017
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Last Update Date | 02/01/2017
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Provider Practice Location Address
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Address Line | 15437 ANACAPA RD SUIT 31
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City | VICTORVILLE
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State | CA
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Zip | 92392-2458
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Country | US
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Telephone | 951-675-9058
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Fax |
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Provider Business Mailing Address
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Address Line | 10881 POPLAR ST
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City | LOMA LINDA
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State | CA
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Zip | 92354-2226
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Country | US
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Telephone | 951-675-9058
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. EMMANUEL KHUMALO
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Credential |
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Telephone | 951-675-9058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 201210710137
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 201210710137
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License Number State | CA
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