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General NPI Number Information
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NPI Number | 1699906230
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Entity Type | Organization
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Legal Business Name | ENGLISH FAMILY CARE HOME, INC
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Dates
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Enumeration Date | 07/30/2009
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 984 RUSSELL PL
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City | POMONA
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State | CA
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Zip | 91767-3330
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Country | US
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Telephone | 909-620-1741
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Fax | 909-623-7495
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Provider Business Mailing Address
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Address Line | 984 RUSSELL PL
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City | POMONA
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State | CA
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Zip | 91767-3330
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Country | US
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Telephone | 909-620-1741
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Fax | 909-623-7495
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BRENDA J SEABORN
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Credential |
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Telephone | 909-620-1741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | C26499
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License Number State | CA
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