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General NPI Number Information
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NPI Number | 1821327867
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Entity Type | Organization
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Legal Business Name | HOUSECALLS UNLIMITED
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Dates
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Enumeration Date | 12/22/2009
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Last Update Date | 12/22/2009
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Provider Practice Location Address
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Address Line | 555 W COMPTON BLVD STE 205
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City | COMPTON
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State | CA
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Zip | 90220-3037
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Country | US
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Telephone | 310-383-9874
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Fax |
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Provider Business Mailing Address
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Address Line | 555 W COMPTON BLVD STE 205
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City | COMPTON
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State | CA
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Zip | 90220-3037
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Country | US
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Telephone | 310-383-9874
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. EBERE HENRIETTA ANAKWENZ
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Credential | PA-C
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Telephone | 310-383-9874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | G50607
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License Number State | CA
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