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General NPI Number Information
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NPI Number | 1235611518
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Entity Type | Organization
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Legal Business Name | AZURE HEALTH CARE MANAGEMENT, INC.
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Dates
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Enumeration Date | 09/03/2018
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 11728 MAGNOLIA AVE STE A-1
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City | RIVERSIDE
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State | CA
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Zip | 92503-4970
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Country | US
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Telephone | 951-840-7559
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Fax | 951-602-8691
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Provider Business Mailing Address
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Address Line | 11728 MAGNOLIA AVE STE A-1
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City | RIVERSIDE
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State | CA
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Zip | 92503-4970
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Country | US
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Telephone | 951-840-7559
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Fax | 951-602-8691
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Authorized Official
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Title or Position | CEO
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Name | MS. WAHYUNI SANCHEZ
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Credential |
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Telephone | 951-840-7559
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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 | CA
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