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General NPI Number Information
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NPI Number | 1063646339
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Entity Type | Organization
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Legal Business Name | MORNING STAR HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 05/14/2009
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Last Update Date | 05/14/2009
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Provider Practice Location Address
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Address Line | 9045 HAVEN AVE STE 108
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-5427
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Country | US
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Telephone | 909-581-0900
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Fax | 909-944-8340
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Provider Business Mailing Address
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Address Line | 9045 HAVEN AVE STE 108
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-5427
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Country | US
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Telephone | 909-581-0900
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Fax | 909-944-8340
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Authorized Official
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Title or Position | ADMINISTRATOR/DIRECTOR OF NURSING
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Name | MS. CHERYL NAVARRO LABANG
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Credential | BSN, RN
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Telephone | 909-581-0900
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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 | 240000829
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License Number State | CA
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