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General NPI Number Information
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NPI Number | 1639476013
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE HOME CARE PROFESSIONALS,INC
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Dates
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Enumeration Date | 02/19/2011
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Last Update Date | 02/19/2011
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Provider Practice Location Address
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Address Line | 889 E FRANCIS DR PO BOC 944
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City | PALM SPRINGS
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State | CA
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Zip | 92262-2213
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Country | US
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Telephone | 760-861-0276
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Fax | 760-668-0818
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Provider Business Mailing Address
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Address Line | 889 E FRANCIS DR PO BOX 944
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City | PALM SPRINGS
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State | CA
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Zip | 92262-2213
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Country | US
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Telephone | 760-861-0276
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Fax | 769-668-0818
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DR. EWA GOSEK
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Credential | M.D.,
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Telephone | 760-861-0276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | C2241978
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License Number State | CA
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