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General NPI Number Information
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NPI Number | 1679967285
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Entity Type | Organization
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Legal Business Name | DURANGO INVESTMENTS INC.
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Dates
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Enumeration Date | 03/20/2015
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Last Update Date | 03/20/2015
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Provider Practice Location Address
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Address Line | 4340 REDWOOD HWY SUITE F-130
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City | SAN RAFAEL
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State | CA
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Zip | 94903-2121
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Country | US
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Telephone | 415-521-5860
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Fax | 415-521-5863
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Provider Business Mailing Address
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Address Line | 4340 REDWOOD HWY SUITE F-130
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City | SAN RAFAEL
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State | CA
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Zip | 94903-2121
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Country | US
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Telephone | 415-521-5860
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Fax | 415-521-5863
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MARK S. PARETCHAN
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Credential |
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Telephone | 415-521-5860
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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 | 054726
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License Number State | CA
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