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General NPI Number Information
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NPI Number | 1083877880
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Entity Type | Organization
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Legal Business Name | MEGA CARE HEALTH PROFESSIONALS SERVICES INC
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Dates
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Enumeration Date | 07/02/2008
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Last Update Date | 07/02/2008
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Provider Practice Location Address
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Address Line | 333 N LANTANA ST SUITE 124
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City | CAMARILLO
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State | CA
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Zip | 93010-9010
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Country | US
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Telephone | 805-445-9900
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Fax |
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Provider Business Mailing Address
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Address Line | 333 N LANTANA ST SUITE 124
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City | CAMARILLO
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State | CA
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Zip | 93010-9010
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Country | US
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Telephone | 805-445-9900
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Fax |
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Authorized Official
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Title or Position | CEO/BDD
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Name | CRISTIE TOLOTTI
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Credential |
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Telephone | 805-445-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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