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General NPI Number Information
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NPI Number | 1346860194
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Entity Type | Organization
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Legal Business Name | WECARE DIALYSIS CENTER
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Dates
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Enumeration Date | 04/22/2020
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Last Update Date | 04/22/2020
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Provider Practice Location Address
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Address Line | 8591 GROVE AVE
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730
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Country | US
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Telephone | 626-991-7651
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Fax |
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Provider Business Mailing Address
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Address Line | 21218 RUNNING BRANCH RD
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City | DIAMOND BAR
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State | CA
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Zip | 91765-3746
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Country | US
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Telephone | 626-991-7651
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | YU HANG SHU
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Credential |
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Telephone | 626-991-7651
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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