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General NPI Number Information
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NPI Number | 1063925493
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Entity Type | Organization
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Legal Business Name | KINDRED CARE INC
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Dates
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Enumeration Date | 11/07/2017
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Last Update Date | 11/07/2017
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Provider Practice Location Address
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Address Line | 26500 AGOURA RD STE 111
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City | CALABASAS
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State | CA
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Zip | 91302-3562
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Country | US
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Telephone | 818-880-8816
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Fax | 877-963-8710
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Provider Business Mailing Address
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Address Line | 26500 AGOURA RD STE 111
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City | CALABASAS
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State | CA
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Zip | 91302-3562
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Country | US
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Telephone | 818-880-8816
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Fax | 877-963-8710
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Authorized Official
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Title or Position | PRESIDENT/PIC
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Name | DR. YOULIA GALENKO
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Credential |
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Telephone | 818-880-8816
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 55763
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License Number State | CA
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