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General NPI Number Information
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NPI Number | 1215640958
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Entity Type | Organization
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Legal Business Name | CLICK MED
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Dates
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Enumeration Date | 12/27/2022
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Last Update Date | 12/27/2022
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Provider Practice Location Address
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Address Line | 78120 SUIT 206
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City | LA QUINTA
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State | CA
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Zip | 92253-0141
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Country | US
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Telephone | 833-236-2369
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 425
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City | REDLANDS
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State | CA
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Zip | 92373-0141
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Country | US
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Telephone | 833-236-2369
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. LEIDIANA DAVILA
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Credential | C.E.O
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Telephone | 760-969-3471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 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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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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