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General NPI Number Information
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NPI Number | 1184480683
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Entity Type | Organization
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Legal Business Name | ANNETTE CHANGALA, INC.
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Dates
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Enumeration Date | 02/22/2024
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Last Update Date | 02/22/2024
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Provider Practice Location Address
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Address Line | 31878 DEL OBISPO ST STE 118-453
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-3223
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Country | US
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Telephone | 949-481-0812
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Fax |
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Provider Business Mailing Address
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Address Line | 31878 DEL OBISPO ST STE 118-453
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-3223
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SECRETARY OF THE CORPORATION
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Name | FERNANDO KELLENBERGER
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Credential |
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Telephone | 949-481-0812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171R00000X
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Taxonomy Name | Interpreter
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License Number |
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License Number State |
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