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General NPI Number Information
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NPI Number | 1043246341
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Entity Type | Organization
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Legal Business Name | PACIFICA IN-HOME SOLUTIONS, INC.
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 18000 STUDEBAKER RD SUITE 700
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City | CERRITOS
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State | CA
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Zip | 90703-2679
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Country | US
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Telephone | 562-353-4489
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Fax | 562-467-8923
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Provider Business Mailing Address
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Address Line | 18000 STUDEBAKER RD SUITE 700
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City | CERRITOS
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State | CA
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Zip | 90703-2679
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Country | US
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Telephone | 562-353-4489
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Fax | 562-467-8923
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | LISA CAROLYN DICKENSON
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Credential |
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Telephone | 562-353-4489
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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 |
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