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General NPI Number Information
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NPI Number | 1548916315
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Entity Type | Organization
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Legal Business Name | ABERISSE HOME HEALTH PROVIDER, INC
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Dates
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Enumeration Date | 03/01/2022
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Last Update Date | 03/05/2022
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Provider Practice Location Address
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Address Line | 7965 VINEYARD AVE STE F9-A
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-2313
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Country | US
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Telephone | 909-781-2177
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Fax |
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Provider Business Mailing Address
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Address Line | 7868 MILLIKEN AVE APT 425
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-8389
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Country | US
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Telephone | 714-609-5548
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Fax |
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Authorized Official
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Title or Position | CONSULTANAT
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Name | MARIA TERSA SANTOS
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Credential |
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Telephone | 714-609-5548
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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 |
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License Number State |
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