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General NPI Number Information
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NPI Number | 1134289598
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Entity Type | Organization
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Legal Business Name | WEST COAST NURSING VENTURA, INC.
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 08/14/2008
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Provider Practice Location Address
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Address Line | 2955 E HILLCREST DR SUITE 121
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-3176
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Country | US
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Telephone | 805-496-0900
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Fax | 805-496-0906
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Provider Business Mailing Address
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Address Line | 2955 E. HILLCREST DRIVE SUITE 121
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City | THOUSAND OAKS
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State | CA
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Zip | 91362-3177
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Country | US
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Telephone | 805-496-0900
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Fax | 805-496-0906
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Authorized Official
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Title or Position | CEO PRESIDENT
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Name | ARTURIK GYANDZHYAN
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Credential |
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Telephone | 805-496-0900
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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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