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General NPI Number Information
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NPI Number | 1760837876
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Entity Type | Organization
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Legal Business Name | WHIPMOCHA,INC
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Dates
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Enumeration Date | 04/26/2016
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Last Update Date | 04/26/2016
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Provider Practice Location Address
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Address Line | 16648 SAN FERNANDO MISSION BLVD
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City | GRANADA HILLS
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State | CA
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Zip | 91344-4222
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Country | US
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Telephone | 818-403-1045
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Fax |
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Provider Business Mailing Address
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Address Line | 19808 AHWANEE LN
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City | PORTER RANCH
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State | CA
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Zip | 91326-4121
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Country | US
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Telephone | 818-403-1045
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Fax | 818-488-9597
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Authorized Official
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Title or Position | CEO
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Name | BEBERLINA O PERRINE
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Credential |
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Telephone | 818-403-1045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 197604841
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License Number State | CA
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