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General NPI Number Information
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NPI Number | 1174921092
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Entity Type | Organization
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Legal Business Name | HIRED POWER TRANSITIONAL LIVING CENTER LLC
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Dates
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Enumeration Date | 12/09/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 21062 BROOKHURST ST STE 201
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92646-7404
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Country | US
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Telephone | 714-615-0155
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Fax | 888-870-3174
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Provider Business Mailing Address
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Address Line | 21062 BROOKHURST ST STE 201
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92646
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Country | US
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Telephone | 714-964-6730
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NANETTE ZUMWALT
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Credential | CADC
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Telephone | 714-964-6730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number |
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License Number State | CA
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