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General NPI Number Information
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NPI Number | 1174190318
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Entity Type | Organization
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Legal Business Name | OLIVEGLEN HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 06/07/2021
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Last Update Date | 06/07/2021
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Provider Practice Location Address
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Address Line | 121 S GLENOAKS BLVD STE 2
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City | BURBANK
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State | CA
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Zip | 91502-1604
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Country | US
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Telephone | 747-283-0368
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Fax | 747-283-0369
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Provider Business Mailing Address
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Address Line | 121 S GLENOAKS BLVD STE 2A
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City | BURBANK
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State | CA
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Zip | 91502-1604
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Country | US
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Telephone | 747-283-0371
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Fax | 747-283-0372
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Authorized Official
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Title or Position | CEO
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Name | KAREN NALBANDYAN
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Credential |
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Telephone | 747-283-0368
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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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