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General NPI Number Information
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NPI Number | 1629153267
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Entity Type | Organization
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Legal Business Name | VORTEX MANAGEMENT INC.
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 04/18/2008
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Provider Practice Location Address
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Address Line | 1016 E. BROADWAY AVENUE SUITE 201
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City | GLENDALE
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State | CA
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Zip | 91205-4535
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Country | US
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Telephone | 818-244-8446
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Fax | 818-244-7331
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Provider Business Mailing Address
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Address Line | 1016 E. BROADWAY AVENUE SUITE 201
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City | GLENDALE
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State | CA
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Zip | 91205-4535
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Country | US
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Telephone | 818-244-8446
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Fax | 818-244-7331
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Authorized Official
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Title or Position | CEO
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Name | JEROME PAMINTUAN
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Credential |
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Telephone | 818-244-8446
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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 |
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License Number State | CA
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