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General NPI Number Information
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NPI Number | 1104067578
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Entity Type | Organization
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Legal Business Name | PARAMOUNT PROFESSIONALS INC
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Dates
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Enumeration Date | 03/16/2009
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Last Update Date | 11/01/2016
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Provider Practice Location Address
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Address Line | 16484 VICTOR ST.
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City | VICTORVILLE
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State | CA
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Zip | 92395-3726
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Country | US
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Telephone | 760-951-6688
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Fax | 760-459-2268
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Provider Business Mailing Address
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Address Line | 16484 VICTOR ST.
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City | VICTORVILLE
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State | CA
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Zip | 92395-3726
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Country | US
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Telephone | 760-951-6688
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Fax | 760-459-2268
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Authorized Official
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Title or Position | CFO
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Name | MISS GINALYN BROWN TAYAG
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Credential |
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Telephone | 909-509-6059
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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 | 550000506
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License Number State | CA
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