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General NPI Number Information
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NPI Number | 1346492618
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Entity Type | Organization
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Legal Business Name | THE PROMISE HOME HEALTH CARE SERVICES INC
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Dates
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Enumeration Date | 10/18/2008
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Last Update Date | 10/18/2008
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Provider Practice Location Address
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Address Line | 15878 W PRESERVE LOOP
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City | CHINO
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State | CA
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Zip | 91708-7653
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Country | US
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Telephone | 562-841-0715
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Fax | 909-247-4032
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Provider Business Mailing Address
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Address Line | 15878 W PRESERVE LOOP
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City | CHINO
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State | CA
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Zip | 91708-7653
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Country | US
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Telephone | 562-841-0715
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Fax | 909-247-4032
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. FERDINAND MORALES LOPEZ
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Credential | DC
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Telephone | 562-841-0715
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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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