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General NPI Number Information
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NPI Number | 1508037730
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Entity Type | Organization
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Legal Business Name | HCOA OC INC
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Dates
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Enumeration Date | 03/15/2008
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Last Update Date | 12/01/2011
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Provider Practice Location Address
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Address Line | 23461 S POINTE DR STE 155
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1574
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Country | US
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Telephone | 949-586-7696
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Fax | 949-472-1357
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Provider Business Mailing Address
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Address Line | 23461 S POINTE DR STE 155
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1574
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Country | US
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Telephone | 949-586-7696
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Fax | 949-472-1357
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MISS CRISTINA CUCUECO
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Credential |
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Telephone | 949-586-7696
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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 | 550000505
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License Number State | CA
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