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General NPI Number Information
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NPI Number | 1356851927
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Entity Type | Organization
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Legal Business Name | WINDSOR SKIES INC.
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Dates
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Enumeration Date | 10/09/2017
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Last Update Date | 10/09/2017
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Provider Practice Location Address
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Address Line | 4901 MORENA BLVD STE 124
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City | SAN DIEGO
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State | CA
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Zip | 92117-3373
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Country | US
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Telephone | 858-270-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 24324 KNOLL CT
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City | DIAMOND BAR
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State | CA
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Zip | 91765-4308
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Country | US
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Telephone | 909-551-5291
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PARESH PANCHAL
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Credential |
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Telephone | 858-270-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 374700200
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License Number State | CA
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