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General NPI Number Information
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NPI Number | 1477845543
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Entity Type | Organization
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Legal Business Name | CORBIS LLC
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Dates
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Enumeration Date | 05/09/2011
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Last Update Date | 01/25/2012
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Provider Practice Location Address
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Address Line | 27209 BARADA AVE
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City | SAUGUS
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State | CA
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Zip | 91350-2123
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Country | US
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Telephone | 818-478-7052
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Fax | 661-505-5724
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Provider Business Mailing Address
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Address Line | 27209 BARADA AVE
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City | SAUGUS
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State | CA
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Zip | 91350-2123
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Country | US
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Telephone | 818-478-7052
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Fax | 661-505-5724
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MISS MARIA BISMA GODINEZ REDUCTO
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Credential |
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Telephone | 818-478-7052
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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 | 000256953400019
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License Number State | CA
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