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General NPI Number Information
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NPI Number | 1003567058
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Entity Type | Organization
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Legal Business Name | BEST SERENE HOME HEALTH INC
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Dates
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Enumeration Date | 01/11/2022
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 4959 PALO VERDE ST STE 206A-1
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City | MONTCLAIR
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State | CA
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Zip | 91763-2342
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Country | US
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Telephone | 909-681-6180
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Fax | 909-614-8628
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Provider Business Mailing Address
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Address Line | 4959 PALO VERDE ST STE 206A-1
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City | MONTCLAIR
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State | CA
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Zip | 91763-2342
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Country | US
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Telephone | 909-681-6180
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Fax | 909-614-8628
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Authorized Official
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Title or Position | CEO
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Name | MR. CHARLES IAN APOSTOL II
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Credential | LVN
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Telephone | 909-681-6180
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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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