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General NPI Number Information
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NPI Number | 1134358807
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Entity Type | Organization
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Legal Business Name | APL CARE AGENCY INC
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Dates
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Enumeration Date | 07/02/2009
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Last Update Date | 07/02/2009
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Provider Practice Location Address
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Address Line | 25612 BARTON RD STE 321
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City | LOMA LINDA
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State | CA
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Zip | 92354-3110
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Country | US
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Telephone | 909-796-3235
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Fax | 909-883-7151
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Provider Business Mailing Address
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Address Line | 25612 BARTON RD STE 321
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City | LOMA LINDA
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State | CA
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Zip | 92354-3110
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Country | US
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Telephone | 901-979-6353
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Fax | 909-883-7151
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Authorized Official
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Title or Position | PRESIDENT
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Name | AUGUSTINE LOPEZ
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Credential |
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Telephone | 909-796-3532
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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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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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