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General NPI Number Information
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NPI Number | 1902940562
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Entity Type | Organization
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Legal Business Name | CHARLEX CORP. USA
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4110 SUGAR MAPLE DR
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City | DANVILLE
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State | CA
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Zip | 94506-4639
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Country | US
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Telephone | 925-736-7913
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Fax | 925-736-7914
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Provider Business Mailing Address
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Address Line | 4110 SUGAR MAPLE DR
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City | DANVILLE
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State | CA
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Zip | 94506-4639
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Country | US
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Telephone | 925-736-7913
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Fax | 925-736-7914
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. ZAMFIRA VUNDERMAN
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Credential | R.N.
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Telephone | 925-736-7913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 05G781
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 05G691
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 05G798
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 05G435
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 05G424
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 05G129
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License Number State | CA
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