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General NPI Number Information
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NPI Number | 1134455868
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Entity Type | Organization
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Legal Business Name | REMEDY HEALTH CARE SERVICES, INC.
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Dates
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Enumeration Date | 10/31/2009
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Last Update Date | 12/28/2011
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Provider Practice Location Address
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Address Line | 16689 FOOTHILL BLVD SUITE 205
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City | FONTANA
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State | CA
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Zip | 92335-8414
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Country | US
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Telephone | 909-823-0816
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Fax | 951-346-5016
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Provider Business Mailing Address
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Address Line | 16689 FOOTHILL BLVD SUITE 205
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City | FONTANA
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State | CA
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Zip | 92335-8414
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Country | US
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Telephone | 909-823-0816
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Fax | 951-346-5016
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MR. EDWARD FERNANDEZ
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Credential | R.N.
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Telephone | 19515223386
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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 |
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License Number State |
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