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General NPI Number Information
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NPI Number | 1396164471
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Entity Type | Organization
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Legal Business Name | WELLNESS CENTER HOME HEALTH
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Dates
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Enumeration Date | 04/16/2014
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Last Update Date | 04/16/2014
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Provider Practice Location Address
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Address Line | 50 PENNY LN
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City | WATSONVILLE
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State | CA
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Zip | 95076-3079
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Country | US
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Telephone | 831-756-0367
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1701
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City | SALINAS
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State | CA
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Zip | 93902-1701
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Country | US
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Telephone | 831-756-0367
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER
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Name | ELOISA VIRUET
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Credential | RN
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Telephone | 831-756-0367
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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 | CA
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