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General NPI Number Information
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NPI Number | 1609960897
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Entity Type | Organization
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Legal Business Name | DAIAN CORPORATION
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 03/23/2017
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Provider Practice Location Address
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Address Line | 10507 GARDEN GROVE BLVD # F
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City | GARDEN GROVE
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State | CA
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Zip | 92843-1128
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Country | US
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Telephone | 714-689-2300
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Fax | 714-689-2301
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Provider Business Mailing Address
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Address Line | 10507 GARDEN GROVE BLVD
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City | GARDEN GROVE
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State | CA
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Zip | 92843-1128
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Country | US
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Telephone | 714-689-2300
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Fax | 714-689-2301
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | ROSALIE LU WEBER
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Credential |
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Telephone | 714-590-3620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 550001495
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License Number State | CA
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