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General NPI Number Information
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NPI Number | 1871952572
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Entity Type | Organization
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Legal Business Name | BARBARA BROWNE HEALTHCARE
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Dates
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Enumeration Date | 02/23/2016
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Last Update Date | 02/23/2016
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Provider Practice Location Address
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Address Line | 550 W VISTA WAY STE 309
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City | VISTA
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State | CA
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Zip | 92083-5717
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Country | US
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Telephone | 760-941-8443
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Fax | 760-941-6427
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Provider Business Mailing Address
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Address Line | 550 W VISTA WAY STE 309
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City | VISTA
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State | CA
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Zip | 92083-5717
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Country | US
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Telephone | 760-941-8443
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Fax | 760-941-6427
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Authorized Official
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Title or Position | SHAREHOLDER
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Name | MRS. SUSAN I BREMERTHON
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Credential |
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Telephone | 760-941-8443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 374700070
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License Number State | CA
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