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General NPI Number Information
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NPI Number | 1437914918
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Entity Type | Organization
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Legal Business Name | DOROTHY'S DAUGHTER
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Dates
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Enumeration Date | 02/14/2024
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 1800 N LAKE AVE
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City | PASADENA
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State | CA
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Zip | 91104-1228
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Country | US
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Telephone | 626-298-6135
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Fax |
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Provider Business Mailing Address
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Address Line | 2181 E FOOTHILL BLVD STE 203
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City | PASADENA
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State | CA
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Zip | 91107-6825
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Country | US
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Telephone | 626-298-6135
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DOROTHY SIMPSON
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Credential |
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Telephone | 626-298-6135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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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 | 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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