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General NPI Number Information
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NPI Number | 1992524995
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Entity Type | Organization
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Legal Business Name | URCARE LLC
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 22965 CARDINAL ST
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City | GRAND TERRACE
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State | CA
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Zip | 92313-5532
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Country | US
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Telephone | 760-218-3858
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Fax |
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Provider Business Mailing Address
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Address Line | 25612 BARTON RD # 316
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City | LOMA LINDA
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State | CA
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Zip | 92354-3110
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Country | US
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Telephone | 760-218-3858
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. EDNA Q MEDES
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Credential | CEO
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Telephone | 760-218-3858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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