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General NPI Number Information
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NPI Number | 1952737629
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Entity Type | Organization
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Legal Business Name | HHDL OF SANTA CRUZ INC.
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Dates
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Enumeration Date | 09/25/2013
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 135 AVIATION WAY, STE. 11B
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City | WATSONVILLE
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State | CA
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Zip | 95076
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Country | US
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Telephone | 831-471-5183
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Fax | 855-331-1812
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Provider Business Mailing Address
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Address Line | 135 AVIATION WAY, STE. 11B
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City | WATSONVILLE
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State | CA
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Zip | 95076
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Country | US
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Telephone | 831-471-5183
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Fax | 855-331-1812
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Authorized Official
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Title or Position | OWNER
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Name | DOUG CROCKER
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Credential |
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Telephone | 831-471-5183
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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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