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General NPI Number Information
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NPI Number | 1003657958
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Entity Type | Organization
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Legal Business Name | COVERED CAREGIVER LLC
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Dates
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Enumeration Date | 06/04/2024
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 1000 BUSINESS CENTER CIR STE 204
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City | NEWBURY PARK
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State | CA
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Zip | 91320-1245
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Country | US
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Telephone | 805-375-4725
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 BUSINESS CENTER CIR STE 204
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City | NEWBURY PARK
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State | CA
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Zip | 91320-1245
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | OHAD J PEARL
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Credential | MPH
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Telephone | 805-375-4725
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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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Taxonomy #2
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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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