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General NPI Number Information
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NPI Number | 1134926165
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Entity Type | Organization
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Legal Business Name | FAMILY ACUCARE INC
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 18800 AMAR RD SUITE A-08
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City | WALNUT
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State | CA
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Zip | 91789
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Country | US
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Telephone | 626-877-4468
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Fax |
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Provider Business Mailing Address
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Address Line | 18800 AMAR RD SUITE A-08
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City | WALNUT
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State | CA
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Zip | 91789
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Country | US
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Telephone | 626-877-4468
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JIANCHAO LIU
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Credential |
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Telephone | 626-877-4468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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