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General NPI Number Information
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NPI Number | 1467293530
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Entity Type | Organization
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Legal Business Name | CNC MED ENTERPRISES INC
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Dates
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Enumeration Date | 06/04/2024
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 3244 ASHTON PL
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City | LANCASTER
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State | CA
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Zip | 93536-9564
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Country | US
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Telephone | 949-732-8655
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Fax |
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Provider Business Mailing Address
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Address Line | 2795 W LINCOLN AVE STE C
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City | ANAHEIM
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State | CA
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Zip | 92801-6334
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Country | US
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Telephone | 714-886-2959
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | FRANCES CUENTO
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Credential | NP
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Telephone | 949-732-8655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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