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General NPI Number Information
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NPI Number | 1205808326
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Entity Type | Organization
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Legal Business Name | ACE HOME HEALTH, INC.
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 12/07/2007
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Provider Practice Location Address
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Address Line | 4055 WILSHIRE BLVD SUITE 105
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City | LOS ANGELES
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State | CA
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Zip | 90010-3403
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Country | US
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Telephone | 213-383-9678
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Fax | 213-383-9648
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Provider Business Mailing Address
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Address Line | 4055 WILSHIRE BLVD SUITE 105
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City | LOS ANGELES
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State | CA
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Zip | 90010-3403
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Country | US
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Telephone | 213-383-9678
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Fax | 213-383-9648
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Authorized Official
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Title or Position | PRESIDENT
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Name | SUNG HEE KANG
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Credential | RN
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Telephone | 213-383-9678
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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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