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General NPI Number Information
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NPI Number | 1205339603
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Entity Type | Organization
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Legal Business Name | VK HEALTHCARE, INC.
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Dates
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Enumeration Date | 03/12/2018
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Last Update Date | 03/12/2018
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Provider Practice Location Address
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Address Line | 1651 E MAIN ST STE 201
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City | EL CAJON
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State | CA
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Zip | 92021-5206
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Country | US
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Telephone | 619-202-7258
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Fax |
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Provider Business Mailing Address
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Address Line | 1651 E MAIN ST STE 201
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City | EL CAJON
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State | CA
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Zip | 92021-5206
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Country | US
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Telephone | 619-202-7258
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | VALEN KASSAB
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Credential |
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Telephone | 619-987-5002
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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 | 374700206
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License Number State | CA
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