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General NPI Number Information
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NPI Number | 1184941957
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Entity Type | Organization
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Legal Business Name | HERITAGE DIVISION INC
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Dates
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Enumeration Date | 05/03/2010
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Last Update Date | 07/31/2011
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Provider Practice Location Address
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Address Line | 29337 LAKE HILLS DR
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City | MENIFEE
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State | CA
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Zip | 92585-3162
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Country | US
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Telephone | 951-795-4302
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Fax | 951-848-9925
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Provider Business Mailing Address
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Address Line | 27315 JEFFERSON AVE J134
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City | TEMECULA
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State | CA
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Zip | 92590-5670
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Country | US
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Telephone | 951-795-4302
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Fax | 951-848-9925
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Authorized Official
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Title or Position | CEO
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Name | MRS. RENNELL PALMER
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Credential |
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Telephone | 760-469-4710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State | CA
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