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General NPI Number Information
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NPI Number | 1528560117
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Entity Type | Organization
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Legal Business Name | ADDIGO, INC.
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Dates
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Enumeration Date | 02/28/2018
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Last Update Date | 02/28/2018
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Provider Practice Location Address
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Address Line | 17501 17TH ST STE 100
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City | TUSTIN
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State | CA
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Zip | 92780-7924
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Country | US
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Telephone | 888-888-8403
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Fax |
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Provider Business Mailing Address
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Address Line | 17501 17TH ST STE 100
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City | TUSTIN
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State | CA
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Zip | 92780-7924
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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 | PRESIDENT
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Name | MR. SIMON AKHVEN
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Credential |
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Telephone | 949-929-7072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | CA
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