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General NPI Number Information
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NPI Number | 1487017026
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Entity Type | Organization
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Legal Business Name | ASFON SERVICES INC
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Dates
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Enumeration Date | 03/31/2016
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Last Update Date | 04/20/2016
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Provider Practice Location Address
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Address Line | 12377 LEWIS ST SUITE 201/205
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City | GARDEN GROVE
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State | CA
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Zip | 92840-4675
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Country | US
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Telephone | 310-612-4042
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Fax | 949-271-4087
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Provider Business Mailing Address
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Address Line | 17511 SHERBROOK DR
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City | TUSTIN
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State | CA
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Zip | 92780-2502
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Country | US
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Telephone | 310-612-4042
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Fax | 949-271-4087
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS FATHIMA RINOOZA NAWAZ
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Credential |
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Telephone | 310-612-4042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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