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General NPI Number Information
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NPI Number | 1417909532
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Entity Type | Organization
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Legal Business Name | MED CARE PLUS, INC.
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 490 S ROSEMEAD BLVD SUITE 9
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City | PASADENA
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State | CA
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Zip | 91107-4962
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Country | US
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Telephone | 626-796-0534
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Fax | 626-796-0574
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Provider Business Mailing Address
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Address Line | 490 S ROSEMEAD BLVD SUITE 9
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City | PASADENA
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State | CA
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Zip | 91107-4962
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Country | US
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Telephone | 626-796-0534
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Fax | 626-796-0574
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | MRS. THERESA DUDLEY
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Credential | RN, MN, PHN
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Telephone | 626-796-0534
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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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