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General NPI Number Information
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NPI Number | 1114289378
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Entity Type | Organization
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Legal Business Name | IN HOME HEALTH, LLC
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Dates
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Enumeration Date | 06/13/2012
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Last Update Date | 01/23/2022
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Provider Practice Location Address
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Address Line | 1050 NORTHGATE DR SUITE 400
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City | SAN RAFAEL
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State | CA
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Zip | 94903-2526
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Country | US
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Telephone | 415-472-2637
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Fax | 415-479-8609
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Provider Business Mailing Address
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Address Line | PO BOX 10086
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City | TOLEDO
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State | OH
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Zip | 43699-0086
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Country | US
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Telephone | 419-252-5500
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Fax | 877-385-9446
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. BARRY A LAZARUS
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Credential |
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Telephone | 419-252-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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