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General NPI Number Information
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NPI Number | 1194614982
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Entity Type | Organization
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Legal Business Name | UVC-CLEAN LLC
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Dates
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Enumeration Date | 06/28/2025
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Last Update Date | 08/17/2025
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Provider Practice Location Address
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Address Line | 401 E PACIFIC COAST HWY
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City | LONG BEACH
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State | CA
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Zip | 90806-6218
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Country | US
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Telephone | 562-218-1337
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Fax |
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Provider Business Mailing Address
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Address Line | 9521 PACIFIC AVE
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City | ANAHEIM
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State | CA
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Zip | 92804-5941
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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 | CELL REJUVENATION SPECIALIST
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Name | SCOTT CROW
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Credential |
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Telephone | 562-218-1337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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