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General NPI Number Information
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NPI Number | 1619192432
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Entity Type | Organization
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Legal Business Name | DHR PROVIDER MANAGMENT, INC.
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 16 SUNNY SLOPE
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-5556
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Country | US
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Telephone | 949-635-0434
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Fax | 949-635-0436
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Provider Business Mailing Address
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Address Line | 16 SUNNY SLOPE
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-5556
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Country | US
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Telephone | 949-635-0434
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Fax | 949-635-0436
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. DEBRA HOLT REDLINGER
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Credential |
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Telephone | 949-635-0434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State | CA
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