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General NPI Number Information
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NPI Number | 1205412012
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Entity Type | Organization
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Legal Business Name | NURSE TO YOUR DOOR - CONCIERGE NURSING INC.
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Dates
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Enumeration Date | 03/22/2021
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Last Update Date | 03/22/2021
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Provider Practice Location Address
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Address Line | 7791 N DE WOLF AVE
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City | CLOVIS
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State | CA
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Zip | 93619-9008
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Country | US
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Telephone | 559-343-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 7791 N DE WOLF AVE
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City | CLOVIS
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State | CA
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Zip | 93619-9008
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Country | US
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Telephone | 559-343-2200
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ALEJANDRA PEDRAZA
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Credential | RN BSN
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Telephone | 559-917-7868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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