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General NPI Number Information
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NPI Number | 1073974911
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Entity Type | Organization
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Legal Business Name | GENEZEN HOME HEALTH CARE SERVICES INC
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Dates
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Enumeration Date | 03/18/2016
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 25910 ACERO STE 110
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City | MISSION VIEJO
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State | CA
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Zip | 92691-7938
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Country | US
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Telephone | 949-380-6930
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Fax | 949-446-4700
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Provider Business Mailing Address
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Address Line | 25910 ACERO STE 110
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City | MISSION VIEJO
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State | CA
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Zip | 92691-7938
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Country | US
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Telephone | 949-380-6930
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Fax | 949-446-4700
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Authorized Official
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Title or Position | DPCS/ADMINISTRATOR
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Name | LAURA DEJESUS EMPENO
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Credential | RN
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Telephone | 949-380-6930
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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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