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General NPI Number Information
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NPI Number | 1598791972
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Entity Type | Organization
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Legal Business Name | A&G HEALTH SERVICES, INC
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 01/15/2008
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Provider Practice Location Address
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Address Line | 1521 WILSHIRE BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90017-2205
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Country | US
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Telephone | 213-250-2250
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Fax |
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Provider Business Mailing Address
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Address Line | 24 HAMMOND STE C
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City | IRVINE
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State | CA
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Zip | 92618
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Country | US
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Telephone | 949-770-6022
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALBERTO A. MARCIANO
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Credential |
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Telephone | 949-770-6022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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