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General NPI Number Information
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NPI Number | 1003148149
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Entity Type | Organization
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Legal Business Name | INDEPENDENCE HOME HEALTHCARE, INC.
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Dates
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Enumeration Date | 01/30/2010
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Last Update Date | 01/30/2010
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Provider Practice Location Address
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Address Line | 9744 MAPLE ST SUITE 102
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City | BELLFLOWER
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State | CA
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Zip | 90706-5889
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Country | US
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Telephone | 562-303-9985
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Fax | 562-303-9986
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Provider Business Mailing Address
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Address Line | 9744 MAPLE ST SUITE 102
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City | BELLFLOWER
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State | CA
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Zip | 90706-5889
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Country | US
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Telephone | 562-303-9985
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Fax | 562-303-9986
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. PATRICIA I. PEREZ
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Credential |
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Telephone | 562-303-9985
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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 | 550001049
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License Number State | CA
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