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General NPI Number Information
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NPI Number | 1023400637
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Entity Type | Organization
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Legal Business Name | MY HOME YOUR HOME CARE FOR ELDERLY, LLC
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Dates
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Enumeration Date | 02/19/2015
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Last Update Date | 02/19/2015
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Provider Practice Location Address
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Address Line | 6712 JETTA AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93308-3837
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Country | US
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Telephone | 805-907-0584
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Fax |
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Provider Business Mailing Address
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Address Line | 6712 JETTA AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93308-3837
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Country | US
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Telephone | 805-907-0584
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Fax |
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Authorized Official
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Title or Position | LICENSEE
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Name | MARIA ANNA BUNDA-WEST
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Credential | ENGINEER
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Telephone | 805-907-0584
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 157206852
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License Number State | CA
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