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General NPI Number Information
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NPI Number | 1487509808
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Entity Type | Organization
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Legal Business Name | GLC COMPASSIONATE CARE LLC
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 1749 W TOWNSEND ST
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City | RIALTO
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State | CA
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Zip | 92377-3742
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Country | US
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Telephone | 201-649-2038
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Fax |
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Provider Business Mailing Address
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Address Line | 1749 W TOWNSEND ST
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City | RIALTO
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State | CA
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Zip | 92377-3742
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MOHAMMAD HUZAIFA
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Credential |
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Telephone | 201-649-2038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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