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General NPI Number Information
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NPI Number | 1093750747
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Entity Type | Organization
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Legal Business Name | INTERIM HEALTHCARE SAN DIEGO LLC
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 425 W 5TH AVE SUITE 101
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City | ESCONDIDO
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State | CA
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Zip | 92025-4843
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Country | US
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Telephone | 760-432-9811
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Fax | 760-739-1366
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Provider Business Mailing Address
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Address Line | 425 W 5TH AVE SUITE 101
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City | ESCONDIDO
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State | CA
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Zip | 92025-4843
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Country | US
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Telephone | 760-432-9811
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Fax | 760-739-1366
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Authorized Official
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Title or Position | GENERAL COUNSEL CHIEF COMPLIANCE OF
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Name | PATRICIA MARY MCGILLAN
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Credential |
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Telephone | 301-956-5087
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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 | 080000395
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License Number State | CA
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