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General NPI Number Information
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NPI Number | 1235137738
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Entity Type | Organization
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Legal Business Name | WILSHIRE HEALTH AND COMMUNITY SERVICES, INC.
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 11/17/2023
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Provider Practice Location Address
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Address Line | 277 SOUTH ST SUITE W
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-5039
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Country | US
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Telephone | 805-782-8600
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Fax | 805-782-6981
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Provider Business Mailing Address
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Address Line | 277 SOUTH ST SUITE W
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-5039
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Country | US
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Telephone | 805-782-8600
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Fax | 805-782-6981
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. LAURIE IRENE SMITH
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Credential |
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Telephone | 805-782-8600
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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 | 050000487
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License Number State | CA
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