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General NPI Number Information
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NPI Number | 1487670501
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Entity Type | Organization
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Legal Business Name | GIFTED ARMS INC.
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 05/22/2023
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Provider Practice Location Address
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Address Line | 1400 EASTON DR STE 141
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City | BAKERSFIELD
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State | CA
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Zip | 93309-9404
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Country | US
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Telephone | 661-322-9207
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Fax | 661-322-9208
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Provider Business Mailing Address
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Address Line | 1400 EASTON DR STE 141
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City | BAKERSFIELD
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State | CA
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Zip | 93309-9404
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Country | US
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Telephone | 661-322-9207
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Fax | 661-322-9208
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Authorized Official
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Title or Position | CEO
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Name | MR. RAMON RONQUILLO
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Credential |
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Telephone | 661-322-9207
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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 | 550000057
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License Number State | CA
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