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General NPI Number Information
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NPI Number | 1790102705
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Entity Type | Organization
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Legal Business Name | UNIVERSAL CARE, INC. DBA BRAND NEW DAY
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Dates
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Enumeration Date | 03/27/2014
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Last Update Date | 05/06/2024
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Provider Practice Location Address
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Address Line | 200 OCEANGATE STE 100
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City | LONG BEACH
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State | CA
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Zip | 90802-4317
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Country | US
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Telephone | 888-562-5442
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Fax |
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Provider Business Mailing Address
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Address Line | 5455 GARDEN GROVE BLVD FL 5
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City | WESTMINSTER
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State | CA
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Zip | 92683-1891
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Country | US
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Telephone | 866-255-4795
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Fax |
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Authorized Official
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Title or Position | COO
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Name | JEFF DAVIS
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Credential |
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Telephone | 866-255-4795
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 065312
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License Number State | CA
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