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General NPI Number Information
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NPI Number | 1780655720
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Entity Type | Organization
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Legal Business Name | UNITED CARE PROVIDERS-ST FRANCIS
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Dates
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Enumeration Date | 01/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12842 GLENMERE DR
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City | MORENO VALLEY
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State | CA
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Zip | 92553-5985
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Country | US
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Telephone | 951-242-8106
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Fax | 951-601-2216
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Provider Business Mailing Address
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Address Line | 18409 DANCY ST
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City | ROWLAND HEIGHTS
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State | CA
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Zip | 91748-4755
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Country | US
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Telephone | 818-802-6303
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Fax |
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Authorized Official
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Title or Position | VP/CFO
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Name | ADOLFO J FESTEJO
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Credential |
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Telephone | 818-802-6303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State | CA
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