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General NPI Number Information
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NPI Number | 1184623753
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Entity Type | Organization
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Legal Business Name | ST CLAIRS HOME HEALTH INC
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Dates
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Enumeration Date | 07/18/2005
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Last Update Date | 03/18/2008
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Provider Practice Location Address
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Address Line | 1508 CENTINELA AVE
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City | INGLEWOOD
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State | CA
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Zip | 90302-1144
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Country | US
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Telephone | 310-330-3440
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Fax | 310-330-3449
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Provider Business Mailing Address
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Address Line | 1508 CENTINELA AVE
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City | INGLEWOOD
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State | CA
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Zip | 90302-1144
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Country | US
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Telephone | 310-330-3440
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Fax | 310-330-3449
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Authorized Official
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Title or Position | PRESIDENT ADMINISTRATOR
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Name | MS. MARGARET ROSE LANAM
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Credential | RN BSN CLNC
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Telephone | 310-330-3440
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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 | CA
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