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General NPI Number Information
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NPI Number | 1669759569
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Entity Type | Organization
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Legal Business Name | ALLIED COMMUNITY CARE AND SUPPORT SYSTEMS INC
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Dates
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Enumeration Date | 11/08/2011
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Last Update Date | 11/08/2011
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Provider Practice Location Address
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Address Line | 12114 SPRINGVIEW DR
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City | WHITTIER
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State | CA
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Zip | 90604-3142
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Country | US
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Telephone | 323-496-1538
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Fax |
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Provider Business Mailing Address
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Address Line | 12114 SPRINGVIEW DR
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City | WHITTIER
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State | CA
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Zip | 90604-3142
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Country | US
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Telephone | 323-496-1538
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Fax |
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Authorized Official
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Title or Position | REGISTERED NURSE
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Name | MISS MELANIE D DIAZ
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Credential |
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Telephone | 323-496-1538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 808047
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License Number State | CA
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