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General NPI Number Information
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NPI Number | 1962449074
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Entity Type | Organization
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Legal Business Name | SANDERSON'S HEALTH SERVICES INC.
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 01/19/2012
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Provider Practice Location Address
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Address Line | 720 N NORMA ST STE E
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City | RIDGECREST
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State | CA
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Zip | 93555-3553
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Country | US
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Telephone | 760-375-4511
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Fax | 760-375-4516
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Provider Business Mailing Address
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Address Line | 720 N NORMA ST STE E
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City | RIDGECREST
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State | CA
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Zip | 93555-3553
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Country | US
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Telephone | 760-375-4511
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Fax | 760-375-4516
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | GALE E. SANDERSON
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Credential |
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Telephone | 760-375-4511
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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 | 550000048
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License Number State | CA
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