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General NPI Number Information
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NPI Number | 1912378324
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Entity Type | Organization
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Legal Business Name | HUNTINGTON SPECIALIST & NURSING CORPORATION
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Dates
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Enumeration Date | 10/12/2015
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Last Update Date | 06/15/2020
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Provider Practice Location Address
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Address Line | 517 S MYRTLE AVE 101
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City | MONROVIA
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State | CA
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Zip | 91016-2825
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Country | US
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Telephone | 626-408-5927
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1849
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City | MONROVIA
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State | CA
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Zip | 91017-5849
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Country | US
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Telephone | 626-408-5927
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAUL DEMARCO
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Credential | NP
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Telephone | 626-408-5927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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