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General NPI Number Information
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NPI Number | 1073871620
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Entity Type | Organization
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Legal Business Name | CARE DIMENSIONS LLC
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Dates
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Enumeration Date | 05/01/2012
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Last Update Date | 05/01/2012
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Provider Practice Location Address
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Address Line | 11801 PIERCE ST 251
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City | RIVERSIDE
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State | CA
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Zip | 92505-4408
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Country | US
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Telephone | 888-366-7088
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Fax |
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Provider Business Mailing Address
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Address Line | 3401 W SUNFLOWER AVE 200
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City | SANTA ANA
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State | CA
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Zip | 92704-6948
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Country | US
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Telephone | 714-619-8766
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Fax | 714-619-8769
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Authorized Official
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Title or Position | CEO
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Name | MS. LAUREN PHAN
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Credential |
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Telephone | 714-619-8766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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