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General NPI Number Information
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NPI Number | 1003704719
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Entity Type | Organization
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Legal Business Name | A1 PEACE HOMECARE INC
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 16702 WEGMAN DR
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City | LA PUENTE
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State | CA
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Zip | 91744-4855
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Country | US
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Telephone | 310-408-1933
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Fax |
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Provider Business Mailing Address
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Address Line | 16702 WEGMAN DR
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City | LA PUENTE
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State | CA
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Zip | 91744-4855
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Country | US
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Telephone | 310-408-1933
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF NURSE
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Name | MI JUNG BAK
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Credential |
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Telephone | 213-863-0546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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