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General NPI Number Information
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NPI Number | 1205928439
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Entity Type | Organization
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Legal Business Name | CNE HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 07/16/2021
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Provider Practice Location Address
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Address Line | 10600 MAGNOLIA AVE STE G
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City | RIVERSIDE
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State | CA
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Zip | 92505-1819
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Country | US
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Telephone | 951-351-4263
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Fax | 951-351-1454
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Provider Business Mailing Address
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Address Line | 10600 MAGNOLIA AVE STE G
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City | RIVERSIDE
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State | CA
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Zip | 92505-1819
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Country | US
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Telephone | 951-351-4263
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Fax | 951-351-1454
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SUZETTE POBLETE
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Credential |
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Telephone | 951-351-4263
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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 | 250000806
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License Number State | CA
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