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General NPI Number Information
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NPI Number | 1891369401
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Entity Type | Organization
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Legal Business Name | SMALLING NURSING CORPORATION
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Dates
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Enumeration Date | 05/18/2021
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Last Update Date | 05/18/2021
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Provider Practice Location Address
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Address Line | 1423 W 8TH ST
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City | SAN PEDRO
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State | CA
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Zip | 90732-3803
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Country | US
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Telephone | 916-225-0216
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Fax |
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Provider Business Mailing Address
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Address Line | 849 SEVILLE LN
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City | POMONA
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State | CA
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Zip | 91767-7012
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JESSICA SMALLING
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Credential | NP
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Telephone | 916-225-0216
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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