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General NPI Number Information
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NPI Number | 1477295954
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Entity Type | Organization
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Legal Business Name | MDC HOME CARE INC.
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Dates
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Enumeration Date | 04/13/2022
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Last Update Date | 04/19/2022
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Provider Practice Location Address
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Address Line | 16025 E BRIDGER ST
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City | COVINA
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State | CA
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Zip | 91722-3323
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Country | US
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Telephone | 626-430-6225
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Fax | 714-784-2515
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Provider Business Mailing Address
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Address Line | 16025 E BRIDGER ST
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City | COVINA
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State | CA
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Zip | 91722-3323
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Country | US
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Telephone | 626-430-6225
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Fax | 714-784-2515
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Authorized Official
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Title or Position | CEO
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Name | MR. THANG DUONG
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Credential |
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Telephone | 714-975-3025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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