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General NPI Number Information
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NPI Number | 1073272456
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Entity Type | Organization
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Legal Business Name | TRANSFORMATION REHAB AND WELLNESS
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Dates
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Enumeration Date | 12/13/2021
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Last Update Date | 02/27/2022
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Provider Practice Location Address
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Address Line | 13275 SUNSTREAM DR
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City | CHINO HILLS
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State | CA
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Zip | 91709-3593
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Country | US
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Telephone | 562-380-0939
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Fax |
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Provider Business Mailing Address
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Address Line | 13275 SUNSTREAM DR
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City | CHINO HILLS
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State | CA
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Zip | 91709-3593
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Country | US
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Telephone | 562-380-0939
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MYRIAN ELIZABETH MELNECHUK
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Credential | OT
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Telephone | 562-380-0939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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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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