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General NPI Number Information
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NPI Number | 1689686107
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Entity Type | Organization
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Legal Business Name | INTEGRATED HEALTH SERVICES
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5584 N PARAMOUNT BLVD 101
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City | LONG BEACH
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State | CA
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Zip | 90805-5133
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Country | US
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Telephone | 562-408-1173
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Fax | 562-408-3075
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Provider Business Mailing Address
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Address Line | 5584 N PARAMOUNT BLVD 101
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City | LONG BEACH
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State | CA
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Zip | 90805-5133
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Country | US
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Telephone | 562-408-1173
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Fax | 562-408-3075
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Authorized Official
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Title or Position | CEO
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Name | MR. STEPHEN M STROCKER
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Credential |
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Telephone | 562-408-1173
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | PHY46298
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License Number State | CA
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