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General NPI Number Information
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NPI Number | 1760927263
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Entity Type | Organization
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Legal Business Name | DENKORACH INC
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Dates
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Enumeration Date | 12/20/2016
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Last Update Date | 12/23/2016
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Provider Practice Location Address
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Address Line | 1265 KENDALL DRIVE UNIT 1614
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City | SAN BERNARDINO
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State | CA
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Zip | 92407
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Country | US
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Telephone | 909-800-7154
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Fax |
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Provider Business Mailing Address
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Address Line | 1265 KENDALL DRIVE UNIT 1614
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City | SAN BERNARDINO
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State | CA
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Zip | 92407
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Country | US
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Telephone | 909-800-7154
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DENNICE ROBERTS
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Credential |
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Telephone | 909-800-7154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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