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General NPI Number Information
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NPI Number | 1154900447
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Entity Type | Organization
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Legal Business Name | EZZY HOMECARE AND STAFFING AGENCY LLC
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Dates
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Enumeration Date | 04/05/2021
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Last Update Date | 04/19/2021
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Provider Practice Location Address
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Address Line | 13658 HAWTHORNE BLVD STE 402
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City | HAWTHORNE
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State | CA
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Zip | 90250-5824
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Country | US
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Telephone | 562-450-9455
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Fax |
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Provider Business Mailing Address
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Address Line | 13658 HAWTHORNE BLVD STE 402
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City | HAWTHORNE
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State | CA
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Zip | 90250-5824
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Country | US
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Telephone | 562-450-9455
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | GLORIA CHIJOJE UDENGWU
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Credential | RN
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Telephone | 562-450-9455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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