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General NPI Number Information
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NPI Number | 1740975986
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Entity Type | Organization
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Legal Business Name | ATRIA HOLDING CO
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Dates
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Enumeration Date | 04/05/2023
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 16379 E PRESERVE LOOP UNIT 2139
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City | CHINO
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State | CA
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Zip | 91708-9407
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Country | US
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Telephone | 909-664-4279
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Fax |
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Provider Business Mailing Address
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Address Line | 16379 E PRESERVE LOOP UNIT 2139
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City | CHINO
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State | CA
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Zip | 91708-9407
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Country | US
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Telephone | 909-664-4279
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KRISTIN GONZALES
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Credential |
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Telephone | 888-404-9005
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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