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General NPI Number Information
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NPI Number | 1336444629
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Entity Type | Organization
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Legal Business Name | NUZON CORPORATION
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Dates
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Enumeration Date | 01/18/2011
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Last Update Date | 01/18/2011
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Provider Practice Location Address
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Address Line | 26961 RECODO LN
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6004
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Country | US
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Telephone | 949-768-8951
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Fax |
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Provider Business Mailing Address
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Address Line | 19 AURORE AVE
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City | FOOTHILL RANCH
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State | CA
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Zip | 92610-2321
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Country | US
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Telephone | 949-768-8951
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/LICENSEE
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Name | LILIBETH D ORTIZ
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Credential | RN
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Telephone | 949-768-8951
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | PENDING
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License Number State |
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