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General NPI Number Information
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NPI Number | 1164667044
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Entity Type | Organization
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Legal Business Name | TRIPLE J INTERNATIONAL, INC.
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Dates
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Enumeration Date | 12/08/2008
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Last Update Date | 08/20/2010
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Provider Practice Location Address
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Address Line | 14847 PROCTOR AVE STE 4
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City | CITY OF INDUSTRY
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State | CA
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Zip | 91746-3243
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Country | US
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Telephone | 626-968-3232
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Fax |
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Provider Business Mailing Address
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Address Line | 14847 PROCTOR AVE UNIT 4
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City | CITY OF INDUSTRY
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State | CA
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Zip | 91746-3243
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Country | US
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Telephone | 626-968-3232
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | PERFECTO BRAGA
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Credential |
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Telephone | 626-968-3232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 550000326
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License Number State | CA
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