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General NPI Number Information
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NPI Number | 1891536736
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Entity Type | Organization
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Legal Business Name | CNST HEALTH CARE
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Dates
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Enumeration Date | 06/04/2024
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 1440 N HARBOR BLVD STE 307B
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City | FULLERTON
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State | CA
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Zip | 92835-4149
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Country | US
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Telephone | 714-361-5601
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Fax |
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Provider Business Mailing Address
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Address Line | 1440 N HARBOR BLVD SUITE 307B
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City | FULLERTON
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State | CA
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Zip | 92835-4149
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Country | US
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Telephone | 714-361-5601
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Fax |
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Authorized Official
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Title or Position | CEO & OWNER
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Name | PITOU NGIN
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Credential |
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Telephone | 714-361-5586
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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