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General NPI Number Information
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NPI Number | 1114815701
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Entity Type | Organization
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Legal Business Name | TDESL LLC
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 15725 WHITTIER BLVD STE A
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City | WHITTIER
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State | CA
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Zip | 90603-2343
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Country | US
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Telephone | 562-583-6310
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Fax |
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Provider Business Mailing Address
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Address Line | 15725 WHITTIER BLVD STE A
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City | WHITTIER
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State | CA
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Zip | 90603-2343
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Country | US
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Telephone | 562-583-6310
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. TOBY PORTER
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Credential |
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Telephone | 562-500-6291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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