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General NPI Number Information
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NPI Number | 1427013663
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Entity Type | Organization
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Legal Business Name | HEALTHWISE HOME CARE SOLUTIONS INC
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 03/31/2011
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Provider Practice Location Address
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Address Line | 1100 N VENTURA RD STE 102
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City | OXNARD
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State | CA
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Zip | 93030-3841
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Country | US
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Telephone | 805-983-0086
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Fax | 805-983-0079
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Provider Business Mailing Address
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Address Line | 1100 N VENTURA RD STE 102
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City | OXNARD
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State | CA
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Zip | 93030-3841
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Country | US
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Telephone | 805-983-0086
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Fax | 805-983-0079
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. SUZANNE L FUSSELL
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Credential | MD
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Telephone | 805-983-0086
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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 | 050000576
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License Number State | CA
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