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General NPI Number Information
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NPI Number | 1710348313
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Entity Type | Organization
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Legal Business Name | BBML HOMES, INC.
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Dates
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Enumeration Date | 03/10/2016
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Last Update Date | 03/10/2016
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Provider Practice Location Address
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Address Line | 811 WILDROSE DR
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City | BREA
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State | CA
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Zip | 92821-6469
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Country | US
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Telephone | 714-388-8895
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Fax | 714-459-7068
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Provider Business Mailing Address
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Address Line | 811 WILDROSE DR
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City | BREA
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State | CA
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Zip | 92821-6469
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Country | US
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Telephone | 714-388-8895
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Fax | 714-459-7068
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MISS SHILRELY VILLARMINO
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Credential |
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Telephone | 714-388-8895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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