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General NPI Number Information
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NPI Number | 1669104329
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Entity Type | Organization
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Legal Business Name | ROBYNS GRACE RECUPERATIVE CARE, INC
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Dates
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Enumeration Date | 06/29/2022
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Last Update Date | 06/29/2022
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Provider Practice Location Address
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Address Line | 22211 NORMANDIE AVE
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City | TORRANCE
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State | CA
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Zip | 90501-4117
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Country | US
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Telephone | 310-925-1331
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Fax |
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Provider Business Mailing Address
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Address Line | 15507 S NORMANDIE AVE # 492
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City | GARDENA
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State | CA
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Zip | 90247-4013
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Country | US
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Telephone | 310-925-1331
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Fax |
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Authorized Official
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Title or Position | OWNER, CEO
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Name | JENNIFER ASARE
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Credential | RN
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Telephone | 310-925-1331
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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 |
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Taxonomy #2
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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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 | 261QM3000X
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Taxonomy Name | Medically Fragile Infants and Children Day Care
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License Number |
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License Number State |
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