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General NPI Number Information
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NPI Number | 1730414681
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Entity Type | Organization
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Legal Business Name | UMANA CARE LLC.
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Dates
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Enumeration Date | 10/10/2009
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Last Update Date | 12/07/2011
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Provider Practice Location Address
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Address Line | 1800 N BUSH ST 101
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City | SANTA ANA
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State | CA
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Zip | 92706-2852
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Country | US
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Telephone | 714-568-0048
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Fax | 714-922-6038
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Provider Business Mailing Address
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Address Line | 1800 N BUSH ST 101
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City | SANTA ANA
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State | CA
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Zip | 92706-2852
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Country | US
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Telephone | 714-568-0048
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Fax | 714-922-6038
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Authorized Official
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Title or Position | MEMBER
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Name | EHKY GUTIERREZ
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Credential | ED
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Telephone | 714-673-9208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 05D2017678
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 550001532
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License Number State | CA
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