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General NPI Number Information
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NPI Number | 1073031845
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Entity Type | Organization
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Legal Business Name | L.H. ALTHUIJZEN LLC.
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Dates
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Enumeration Date | 08/31/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 450 S MADERA AVE STE E
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City | MADERA
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State | CA
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Zip | 93637-5462
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Country | US
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Telephone | 559-363-4545
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Fax | 559-363-4547
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Provider Business Mailing Address
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Address Line | 450 S MADERA AVE STE E
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City | MADERA
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State | CA
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Zip | 93637-5462
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Country | US
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Telephone | 559-363-4545
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Fax | 559-363-4547
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Authorized Official
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Title or Position | COMMUNITY RELATIONS COORDINATOR
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Name | CONNY GORDEAU
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Credential |
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Telephone | 559-363-4545
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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 | 104700025
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License Number State | CA
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