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General NPI Number Information
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NPI Number | 1134864358
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Entity Type | Organization
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Legal Business Name | CORKINS AND MENDEZ LLC
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Dates
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Enumeration Date | 05/02/2022
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Last Update Date | 05/02/2022
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Provider Practice Location Address
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Address Line | 69730 HIGHWAY 111 STE 106
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-2873
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Country | US
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Telephone | 760-832-6055
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Fax | 760-832-8998
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Provider Business Mailing Address
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Address Line | 69730 HIGHWAY 111 STE 106
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-2873
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Country | US
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Telephone | 760-832-6055
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Fax | 760-832-8998
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Authorized Official
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Title or Position | SECRETARY
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Name | MS. LISA TERESA MENDEZ
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Credential |
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Telephone | 415-793-1384
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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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