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General NPI Number Information
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NPI Number | 1134564487
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Entity Type | Organization
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Legal Business Name | ELEGANT CARE CORP
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Dates
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Enumeration Date | 04/30/2013
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Last Update Date | 04/30/2013
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Provider Practice Location Address
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Address Line | 3537 TORRANCE BLVD STE 25
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City | TORRANCE
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State | CA
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Zip | 90503-4818
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Country | US
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Telephone | 310-328-1152
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Fax |
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Provider Business Mailing Address
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Address Line | 3537 TORRANCE BLVD STE 25
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City | TORRANCE
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State | CA
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Zip | 90503-4818
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Country | US
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Telephone | 310-328-1152
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Fax |
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Authorized Official
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Title or Position | COO
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Name | LOUIE CASTRO
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Credential |
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Telephone | 562-704-9028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State | CA
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