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General NPI Number Information
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NPI Number | 1275605925
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Entity Type | Organization
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Legal Business Name | SACRED HEART OF JESUS NURSING CARE INC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 01/30/2008
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Provider Practice Location Address
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Address Line | 9660 FLAIR DR 425
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City | EL MONTE
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State | CA
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Zip | 91731-3017
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Country | US
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Telephone | 626-258-0441
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Fax | 626-258-0442
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Provider Business Mailing Address
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Address Line | 9660 FLAIR DR 425
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City | EL MONTE
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State | CA
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Zip | 91731
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Country | US
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Telephone | 626-258-0441
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Fax | 626-258-0442
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Authorized Official
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Title or Position | CEO
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Name | FERDINAND C SANGLAY
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Credential |
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Telephone | 626-258-0441
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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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