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General NPI Number Information
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NPI Number | 1902453038
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Entity Type | Organization
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Legal Business Name | OCEAN BREEZE HOME HEALTH INC
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Dates
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Enumeration Date | 08/22/2019
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Last Update Date | 03/08/2024
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Provider Practice Location Address
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Address Line | 132 ALTA STREET
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City | GONZALES
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State | CA
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Zip | 93926
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Country | US
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Telephone | 800-207-0611
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Fax | 800-214-3114
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Provider Business Mailing Address
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Address Line | PO BOX 2012
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City | GONZALES
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State | CA
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Zip | 93926-2012
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Country | US
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Telephone | 800-207-0611
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Fax | 800-214-3114
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Authorized Official
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Title or Position | PRESIDENT
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Name | FLOR Z MORA
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Credential |
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Telephone | 760-212-7978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 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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