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General NPI Number Information
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NPI Number | 1922279694
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Entity Type | Organization
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Legal Business Name | PLEXUS HEALTH CARE, INC.
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Dates
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Enumeration Date | 03/20/2008
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Last Update Date | 03/15/2012
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Provider Practice Location Address
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Address Line | 7365 CARNELIAN ST SUITE 116A
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-1158
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Country | US
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Telephone | 909-608-7566
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Fax | 909-608-7567
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Provider Business Mailing Address
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Address Line | 7365 CARNELIAN ST SUITE 116A
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-1158
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Country | US
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Telephone | 909-608-7566
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Fax | 909-608-7567
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Authorized Official
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Title or Position | CFO/BILLER
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Name | MR. VICTOR R ASUNCION
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Credential | PE
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Telephone | 909-608-7566
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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 | 550000450
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License Number State | CA
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