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General NPI Number Information
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NPI Number | 1598112708
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Entity Type | Organization
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Legal Business Name | NGK CORPORATION
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Dates
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Enumeration Date | 05/17/2016
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Last Update Date | 01/11/2023
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Provider Practice Location Address
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Address Line | 16870 W BERNARDO DR STE 400
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City | SAN DIEGO
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State | CA
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Zip | 92127-1678
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Country | US
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Telephone | 858-774-4289
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Fax | 858-408-1868
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Provider Business Mailing Address
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Address Line | 16870 W BERNARDO DR STE 400
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City | SAN DIEGO
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State | CA
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Zip | 92127-1678
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Country | US
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Telephone | 858-774-4289
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Fax | 858-408-1868
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MS. NINA J HAINES
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Credential |
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Telephone | 858-774-4289
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 374700077
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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