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General NPI Number Information
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NPI Number | 1366105546
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Entity Type | Organization
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Legal Business Name | HOME VISITING DOCTORS & NURSES COMPANY
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Dates
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Enumeration Date | 10/15/2021
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Last Update Date | 05/05/2022
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Provider Practice Location Address
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Address Line | 201 N BRAND BLVD UNIT 200
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City | GLENDALE
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State | CA
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Zip | 91203-3590
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Country | US
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Telephone | 747-272-7109
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Fax |
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Provider Business Mailing Address
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Address Line | 201 N BRAND BLVD UNIT 200
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City | GLENDALE
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State | CA
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Zip | 91203-3590
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Country | US
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Telephone | 747-272-7109
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NELLIE REYES SCHWAB
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Credential |
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Telephone | 747-272-7109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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