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General NPI Number Information
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NPI Number | 1093127748
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Entity Type | Organization
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Legal Business Name | SPECIALE & SPECIALE
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Dates
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Enumeration Date | 05/29/2014
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Last Update Date | 05/03/2016
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Provider Practice Location Address
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Address Line | 2750 W JAMES AVE APT C
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City | VISALIA
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State | CA
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Zip | 93277-7928
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Country | US
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Telephone | 559-794-1671
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7983
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City | VISALIA
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State | CA
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Zip | 93290-7983
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Country | US
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Telephone | 559-794-1671
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. PAUL JOSEPH SPECIALE
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Credential |
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Telephone | 559-794-1671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 000000012
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License Number State | CA
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