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General NPI Number Information
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NPI Number | 1023105194
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Entity Type | Organization
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Legal Business Name | OUTREACH HOME HEALTH SERVICES, INC
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2446 SAN GABRIEL BLVD STE A
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City | ROSEMEAD
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State | CA
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Zip | 91770-3672
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Country | US
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Telephone | 626-288-1100
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Fax | 626-288-1151
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Provider Business Mailing Address
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Address Line | 2446 SAN GABRIEL BLVD STE A
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City | ROSEMEAD
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State | CA
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Zip | 91770-3672
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Country | US
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Telephone | 626-288-1100
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Fax | 626-288-1151
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Authorized Official
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Title or Position | DIRECTOR OF PATIENT CARE SERVICES
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Name | MARIA AGUILAR
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Credential | R.N.
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Telephone | 626-288-1100
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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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