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General NPI Number Information
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NPI Number | 1184207631
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Entity Type | Organization
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Legal Business Name | CBAS CONSULTING INC
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Dates
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Enumeration Date | 05/03/2021
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Last Update Date | 05/03/2021
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Provider Practice Location Address
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Address Line | 854 JACKMAN ST
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City | EL CAJON
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State | CA
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Zip | 92020-3053
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Country | US
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Telephone | 818-404-5005
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Fax |
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Provider Business Mailing Address
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Address Line | 12385 JOLETTE AVE
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City | GRANADA HILLS
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State | CA
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Zip | 91344-1633
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Country | US
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Telephone | 951-221-5222
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HAMBARSOOM REZKWA
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Credential |
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Telephone | 818-404-5005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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