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General NPI Number Information
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NPI Number | 1386224236
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Entity Type | Organization
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Legal Business Name | EJA INC DBA ALWAYS BEST CARE DESERT CITIES
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Dates
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Enumeration Date | 04/13/2021
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Last Update Date | 04/13/2021
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Provider Practice Location Address
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Address Line | 45150 CLUB DR
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City | INDIAN WELLS
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State | CA
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Zip | 92210-8806
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Country | US
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Telephone | 760-851-0740
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Fax | 866-795-5670
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Provider Business Mailing Address
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Address Line | 45150 CLUB DR
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City | INDIAN WELLS
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State | CA
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Zip | 92210-8806
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Country | US
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Telephone | 760-851-0740
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Fax | 866-795-5670
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | EUSEBIUS WORTELBOER
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Credential |
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Telephone | 508-280-1015
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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 |
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License Number State |
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