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General NPI Number Information
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NPI Number | 1114163821
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Entity Type | Organization
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Legal Business Name | SENTRY HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 12/30/2008
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Last Update Date | 12/30/2009
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Provider Practice Location Address
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Address Line | 210 S IRWINDALE AVE
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City | AZUSA
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State | CA
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Zip | 91702-3213
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Country | US
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Telephone | 626-507-8688
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Fax | 626-638-3688
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Provider Business Mailing Address
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Address Line | 210 S IRWINDALE AVE
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City | AZUSA
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State | CA
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Zip | 91702-3213
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Country | US
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Telephone | 626-507-8688
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Fax | 626-638-3688
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. BRIAN CABILDO
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Credential |
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Telephone | 626-507-8688
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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 | 550000813
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License Number State | CA
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