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General NPI Number Information
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NPI Number | 1659847713
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Entity Type | Organization
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Legal Business Name | GOOD WORKS LLC
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Dates
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Enumeration Date | 10/16/2018
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Last Update Date | 02/04/2021
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Provider Practice Location Address
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Address Line | 328 E SAN BERNARDINO RD
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City | COVINA
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State | CA
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Zip | 91723-1626
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Country | US
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Telephone | 626-584-8130
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Fax | 626-584-8132
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Provider Business Mailing Address
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Address Line | 328 E SAN BERNARDINO RD
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City | COVINA
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State | CA
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Zip | 91723-1626
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Country | US
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Telephone | 626-584-8130
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Fax | 626-584-8132
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Authorized Official
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Title or Position | PRESIDENT
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Name | RENEE J. CONCIALDI
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Credential | MBA
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Telephone | 626-584-8130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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