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General NPI Number Information
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NPI Number | 1629345582
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Entity Type | Organization
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Legal Business Name | AMERICAN COMPANION AND CAREGIVERS
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Dates
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Enumeration Date | 11/21/2011
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Last Update Date | 11/21/2011
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Provider Practice Location Address
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Address Line | 11023 EUCALYPTUS ST STE 102
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-7691
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Country | US
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Telephone | 909-373-8670
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Fax | 909-373-8671
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Provider Business Mailing Address
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Address Line | PO BOX 1740
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91729-1740
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Country | US
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Telephone | 909-373-8670
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Fax | 909-373-8671
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. DANELLE L HONIKEL
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Credential |
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Telephone | 909-231-7820
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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 | 052705
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License Number State | CA
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