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General NPI Number Information
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NPI Number | 1831527316
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Entity Type | Organization
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Legal Business Name | MLSG CORP
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Dates
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Enumeration Date | 10/22/2013
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Last Update Date | 04/07/2015
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Provider Practice Location Address
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Address Line | 13331 EL TORO ROAD SUITE 217 B
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City | LAKE FOREST
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State | CA
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Zip | 92630
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Country | US
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Telephone | 949-707-5059
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Fax | 949-203-2177
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Provider Business Mailing Address
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Address Line | 23331 EL TORO RD SUITE 217 B
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City | LAKE FOREST
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State | CA
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Zip | 92630-4891
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Country | US
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Telephone | 949-707-5059
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Fax | 949-203-2177
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SHAUN GARCIA
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Credential |
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Telephone | 949-707-5059
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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