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General NPI Number Information
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NPI Number | 1245472018
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Entity Type | Organization
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Legal Business Name | EZYLINK VENTURES LLC
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Dates
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Enumeration Date | 03/25/2009
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Last Update Date | 03/25/2009
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Provider Practice Location Address
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Address Line | 650 E PARKRIDGE AVE # 112
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City | CORONA
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State | CA
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Zip | 92879-1091
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Country | US
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Telephone | 909-972-1787
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Fax | 951-549-8763
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Provider Business Mailing Address
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Address Line | 650 E PARKRIDGE AVE STE 112
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City | CORONA
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State | CA
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Zip | 92879-6605
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Country | US
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Telephone | 909-972-1787
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Fax | 951-549-8763
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHARLES APEAH
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Credential |
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Telephone | 909-972-1787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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