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General NPI Number Information
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NPI Number | 1346950078
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Entity Type | Individual
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Provider Name | LECOLE MATCHEM
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Gender | Female
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Dates
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Enumeration Date | 12/05/2022
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Last Update Date | 12/05/2022
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Provider Practice Location Address
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Address Line | 110 SUNSET DR
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City | PLACENTIA
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State | CA
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Zip | 92870-4925
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Country | US
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Telephone | 626-298-9076
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 N KRAEMER BLVD UNIT 413
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City | PLACENTIA
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State | CA
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Zip | 92871-1418
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Country | US
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Telephone | 626-298-9076
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 |
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Taxonomy #2
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #4
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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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