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General NPI Number Information
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NPI Number | 1598840464
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Entity Type | Organization
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Legal Business Name | MGV HEALTH SYSTEMS, INC.
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 08/28/2013
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Provider Practice Location Address
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Address Line | 8765 AERO DR SUITE 312
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City | SAN DIEGO
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State | CA
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Zip | 92123-1781
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Country | US
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Telephone | 858-573-6837
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Fax | 858-573-8917
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Provider Business Mailing Address
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Address Line | 8765 AERO DR SUITE 312
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City | SAN DIEGO
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State | CA
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Zip | 92123-1781
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Country | US
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Telephone | 858-573-6837
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Fax | 858-573-8917
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. HELEN FELIX VIGILIA
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Credential |
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Telephone | 858-573-6837
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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 | 080000744
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License Number State | CA
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