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General NPI Number Information
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NPI Number | 1619536463
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Entity Type | Organization
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Legal Business Name | DIRECT CARE NURSING CORPORATION
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Dates
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Enumeration Date | 06/06/2019
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Last Update Date | 04/26/2021
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Provider Practice Location Address
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Address Line | 739 E PENNSYLVANIA AVE
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City | ESCONDIDO
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State | CA
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Zip | 92025-3004
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Country | US
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Telephone | 760-855-6416
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Fax | 760-867-2891
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Provider Business Mailing Address
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Address Line | 2796 WANEK RD
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City | ESCONDIDO
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State | CA
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Zip | 92027-2811
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. RAZEL MILO
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Credential | PHD, DNP, FNP-C
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Telephone | 760-855-6416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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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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Taxonomy #6
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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