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General NPI Number Information
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NPI Number | 1932921996
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Entity Type | Organization
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Legal Business Name | LICE-FREE CARE
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 15310 1/2 EUCALYPTUS AVE
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City | BELLFLOWER
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State | CA
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Zip | 90706-3706
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Country | US
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Telephone | 323-336-4820
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Fax |
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Provider Business Mailing Address
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Address Line | 13761 GOLDENWEST ST UNIT 4191
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City | WESTMINSTER
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State | CA
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Zip | 92684-2487
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Country | US
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Telephone | 714-794-2443
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VANESSA BLANSETT
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Credential |
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Telephone | 323-336-4820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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