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General NPI Number Information
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NPI Number | 1689898355
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Entity Type | Organization
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Legal Business Name | MEDCARE PLUS HOME HEALTH PROVIDER
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 14700 FIRESTONE BLVD SUITE 106
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City | LA MIRADA
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State | CA
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Zip | 90638-5919
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Country | US
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Telephone | 714-523-3966
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Fax | 714-523-3892
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Provider Business Mailing Address
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Address Line | 14111 FREEWAY DR SUITE 210
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City | SANTA FE SPRINGS
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State | CA
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Zip | 90670-5822
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Country | US
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Telephone | 562-407-9350
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Fax | 562-407-9341
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Authorized Official
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Title or Position | MEDICAL BILLER
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Name | MRS. MARIA FE MEDINA
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Credential |
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Telephone | 714-523-3966
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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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