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General NPI Number Information
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NPI Number | 1942490628
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Entity Type | Organization
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Legal Business Name | HIGH DESERT HOME CARE INC.
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Dates
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Enumeration Date | 07/28/2007
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Last Update Date | 04/27/2011
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Provider Practice Location Address
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Address Line | 19822 HAIDA RD
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City | APPLE VALLEY
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State | CA
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Zip | 92307-5572
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Country | US
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Telephone | 760-810-7161
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Fax | 760-810-7162
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Provider Business Mailing Address
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Address Line | PO BOX 938
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City | APPLE VALLEY
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State | CA
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Zip | 92307-0016
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Country | US
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Telephone | 760-810-7161
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Fax | 760-810-7162
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Authorized Official
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Title or Position | CEO
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Name | MR. RONALD PAUL ZIRGES
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Credential |
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Telephone | 760-810-7161
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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 |
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License Number State |
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