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General NPI Number Information
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NPI Number | 1861266710
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Entity Type | Organization
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Legal Business Name | SULOCHANA, INC
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Dates
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Enumeration Date | 11/10/2023
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Last Update Date | 12/29/2023
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Provider Practice Location Address
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Address Line | 750 TERRADO PLZ STE 31
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City | COVINA
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State | CA
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Zip | 91723-3445
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Country | US
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Telephone | 626-938-0113
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Fax | 626-938-0123
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Provider Business Mailing Address
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Address Line | PO BOX 4668
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City | COVINA
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State | CA
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Zip | 91723-4668
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Country | US
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Telephone | 626-938-0113
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Fax | 626-938-0123
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Authorized Official
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Title or Position | PRESIDENT
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Name | RUSHIKA MEDIWAKE
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Credential |
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Telephone | 626-938-0113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #2
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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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