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General NPI Number Information
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NPI Number | 1174478226
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Entity Type | Organization
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Legal Business Name | COACHELLA VALLEY ANGELS, INC.
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 43875 WASHINGTON ST STE H
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City | PALM DESERT
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State | CA
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Zip | 92211-8249
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Country | US
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Telephone | 760-404-0220
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Fax |
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Provider Business Mailing Address
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Address Line | 43875 WASHINGTON ST STE H
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City | PALM DESERT
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State | CA
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Zip | 92211-8249
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Country | US
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Telephone | 760-404-0220
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SARA BRIDGEWATER
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Credential |
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Telephone | 859-202-1049
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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