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General NPI Number Information
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NPI Number | 1699068205
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Entity Type | Organization
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Legal Business Name | SACRED HEART HEALTH CARE PROVIDERS, INC.
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Dates
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Enumeration Date | 05/16/2011
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Last Update Date | 05/16/2011
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Provider Practice Location Address
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Address Line | 758 N 2ND ST
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City | EL CAJON
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State | CA
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Zip | 92021-5801
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Country | US
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Telephone | 562-841-1386
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Fax |
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Provider Business Mailing Address
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Address Line | 758 N 2ND ST
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City | EL CAJON
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State | CA
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Zip | 92021-5801
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Country | US
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Telephone | 562-841-1386
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Fax |
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Authorized Official
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Title or Position | TREASURER
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Name | EDWIN CUNANAN SANCHEZ
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Credential |
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Telephone | 714-452-4073
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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 | CA
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