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General NPI Number Information
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NPI Number | 1932832102
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Entity Type | Organization
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Legal Business Name | HEALTHCARE HEROES INC
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Dates
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Enumeration Date | 07/06/2022
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | 3073 DAPPLEGRAY LN
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City | NORCO
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State | CA
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Zip | 92860-4141
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Country | US
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Telephone | 714-988-4202
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Fax |
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Provider Business Mailing Address
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Address Line | 1439 W CHAPMAN AVE 236
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City | ORANGE
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State | CA
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Zip | 92868-2738
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CRYSTAL COLONE
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Credential | PA
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Telephone | 951-858-3543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number |
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License Number State |
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