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General NPI Number Information
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NPI Number | 1932347028
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Entity Type | Organization
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Legal Business Name | CLV ENTERPRISES, LLC
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Dates
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Enumeration Date | 01/27/2009
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Last Update Date | 01/27/2009
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Provider Practice Location Address
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Address Line | 330 N STATE COLLEGE BLVD SUITE 101
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City | ANAHEIM
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State | CA
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Zip | 92806-2928
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Country | US
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Telephone | 714-778-2222
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Fax | 714-778-1072
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Provider Business Mailing Address
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Address Line | 330 N STATE COLLEGE BLVD SUITE 101
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City | ANAHEIM
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State | CA
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Zip | 92806-2928
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Country | US
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Telephone | 714-778-2222
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Fax | 714-778-1072
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Authorized Official
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Title or Position | PARTNER
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Name | MR. EDWIN C CRUZ
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Credential |
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Telephone | 714-778-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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