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General NPI Number Information
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NPI Number | 1164082400
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Entity Type | Organization
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Legal Business Name | SHERPAUL CORPORATION
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Dates
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Enumeration Date | 06/18/2019
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Last Update Date | 06/18/2019
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Provider Practice Location Address
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Address Line | 41880 KALMIA ST STE 140
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City | MURRIETA
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State | CA
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Zip | 92562-8837
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Country | US
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Telephone | 951-696-2100
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Fax | 951-696-2122
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Provider Business Mailing Address
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Address Line | 901 HACIENDA DR STE B
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City | VISTA
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State | CA
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Zip | 92081-6498
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Country | US
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Telephone | 760-639-6472
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Fax | 760-639-6473
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Authorized Official
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Title or Position | CFO
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Name | PAUL DZIUBAN
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Credential |
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Telephone | 951-696-2100
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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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