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General NPI Number Information
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NPI Number | 1366572141
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Entity Type | Organization
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Legal Business Name | GLOBAL HEALTH CARE SERVICES LLC
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 05/16/2012
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Provider Practice Location Address
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Address Line | 1301 I ST
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City | MODESTO
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State | CA
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Zip | 95354-0913
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Country | US
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Telephone | 209-549-9875
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Fax | 209-549-9876
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Provider Business Mailing Address
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Address Line | 1301 I ST
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City | MODESTO
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State | CA
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Zip | 95354-0913
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Country | US
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Telephone | 209-549-9875
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Fax | 209-549-9876
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Authorized Official
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Title or Position | DIRECTOR ADMINISTRATOR
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Name | GRACE JANOLINO FLORES
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Credential | R.N.
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Telephone | 209-549-9875
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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 | 200611710015
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License Number State | CA
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