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General NPI Number Information
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NPI Number | 1124313234
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Entity Type | Organization
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Legal Business Name | COMMITTED TO NURSING, LLC
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Dates
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Enumeration Date | 06/16/2011
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Last Update Date | 06/16/2011
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Provider Practice Location Address
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Address Line | 11210 4TH ST 3119
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-6042
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Country | US
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Telephone | 909-969-1142
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1637
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91729-1637
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Country | US
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Telephone | 909-969-1142
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. WINTER ANNA HERNANDEZ
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Credential | LVN
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Telephone | 909-969-1142
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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 | 00773524
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 253172
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License Number State | CA
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