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General NPI Number Information
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NPI Number | 1427473222
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Entity Type | Organization
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Legal Business Name | HYGEIA LTC CORP
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Dates
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Enumeration Date | 03/03/2014
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Last Update Date | 03/03/2014
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Provider Practice Location Address
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Address Line | 305 N SOTO ST SUITE A
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City | LOS ANGELES
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State | CA
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Zip | 90033-1862
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Country | US
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Telephone | 323-263-4903
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Fax | 323-263-8550
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Provider Business Mailing Address
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Address Line | 305 N SOTO ST SUITE A
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City | LOS ANGELES
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State | CA
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Zip | 90033-1862
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Country | US
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Telephone | 323-263-4903
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Fax | 323-263-8550
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM HASBUN
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Credential | PHARM D
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Telephone | 323-263-4903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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