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General NPI Number Information
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NPI Number | 1013222561
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Entity Type | Organization
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Legal Business Name | WESTBRIDGE HOME HEALTH
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Dates
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Enumeration Date | 08/09/2010
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Last Update Date | 08/09/2010
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Provider Practice Location Address
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Address Line | 171 N. LABREA, SUITE 206
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City | INGLEWOOD
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State | CA
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Zip | 90301-1244
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Country | US
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Telephone | 310-910-3256
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Fax |
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Provider Business Mailing Address
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Address Line | 171 N. LABREA., SUITE 206
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City | INGLEWOOD
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State | CA
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Zip | 90301-1244
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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-CEO
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Name | MRS. LOMIA CODIO
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Credential |
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Telephone | 310-910-3256
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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 | CA
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