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General NPI Number Information
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NPI Number | 1205452794
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Entity Type | Organization
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Legal Business Name | INNOVATIVE HEALTHCARE CONSULTANTS
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Dates
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Enumeration Date | 06/19/2020
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Last Update Date | 06/19/2020
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Provider Practice Location Address
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Address Line | 746 S MAIN AVE STE B
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City | FALLBROOK
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State | CA
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Zip | 92028-3352
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Country | US
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Telephone | 760-731-1334
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Fax | 833-790-2628
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Provider Business Mailing Address
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Address Line | 746 S MAIN AVE STE B
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City | FALLBROOK
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State | CA
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Zip | 92028-3352
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Country | US
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Telephone | 760-731-1334
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Fax | 833-790-2628
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Authorized Official
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Title or Position | OWNER AND CEO
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Name | NITA VIJH-FAUTIER
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Credential |
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Telephone | 650-804-6268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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