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General NPI Number Information
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NPI Number | 1104122027
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Entity Type | Organization
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Legal Business Name | HEALTHESSENTIALS, LLC
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Dates
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Enumeration Date | 02/10/2011
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Last Update Date | 05/16/2014
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Provider Practice Location Address
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Address Line | 48371 FREMONT BLVD SUITE 105
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City | FREMONT
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State | CA
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Zip | 94538-6554
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Country | US
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Telephone | 415-735-2925
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Fax | 415-735-2926
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Provider Business Mailing Address
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Address Line | 3401 W SUNFLOWER AVE STE 225
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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 | 415-735-2925
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Fax | 415-735-2926
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LAURY SEARLE
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Credential |
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Telephone | 714-552-4123
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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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