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General NPI Number Information
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NPI Number | 1386911337
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Entity Type | Organization
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Legal Business Name | A&C HEALTHCARE, INC.
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Dates
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Enumeration Date | 11/18/2011
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Last Update Date | 07/30/2012
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Provider Practice Location Address
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Address Line | 20465 VALLEY BLVD
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City | WALNUT
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State | CA
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Zip | 91789-2729
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Country | US
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Telephone | 909-598-3725
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Fax | 909-598-3075
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Provider Business Mailing Address
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Address Line | 20465 VALLEY BLVD
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City | WALNUT
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State | CA
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Zip | 91789-2729
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Country | US
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Telephone | 909-598-3725
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Fax | 909-598-3075
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. CYNTHIA V. LUGUE
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Credential |
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Telephone | 909-598-3725
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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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