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General NPI Number Information
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NPI Number | 1194749549
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Entity Type | Organization
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Legal Business Name | HOME RELATED SERVICES INC
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 05/23/2012
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Provider Practice Location Address
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Address Line | 914 N GLENDALE AVE
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City | GLENDALE
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State | CA
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Zip | 91206-2129
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Country | US
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Telephone | 818-242-7552
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Fax | 818-241-0248
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Provider Business Mailing Address
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Address Line | 914 N GLENDALE AVE
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City | GLENDALE
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State | CA
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Zip | 91206-2129
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Country | US
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Telephone | 818-242-7552
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Fax | 818-241-0248
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SERAFIN MONTEALTO GARCIA
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Credential | MD
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Telephone | 818-242-7552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number | R059970
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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