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General NPI Number Information
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NPI Number | 1114645975
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Entity Type | Organization
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Legal Business Name | LOMA LINDA HOME HEALTH LLC
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Dates
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Enumeration Date | 08/18/2022
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Last Update Date | 08/18/2022
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Provider Practice Location Address
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Address Line | 1411 RIMPAU AVE STE 214
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City | CORONA
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State | CA
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Zip | 92879-7500
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Country | US
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Telephone | 714-306-8656
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Fax |
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Provider Business Mailing Address
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Address Line | 1411 RIMPAU AVE STE 214
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City | CORONA
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State | CA
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Zip | 92879-7500
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Country | US
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Telephone | 714-306-8656
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MILLA KUSHNIR-GARCIA
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Credential | MSN, RN, PHN
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Telephone | 714-306-8656
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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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