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General NPI Number Information
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NPI Number | 1215682083
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Entity Type | Organization
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Legal Business Name | MVE HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 02/19/2022
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Last Update Date | 02/19/2022
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Provider Practice Location Address
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Address Line | 1901 E LAMBERT RD STE 202
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City | LA HABRA
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State | CA
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Zip | 90631-5757
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Country | US
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Telephone | 562-316-5311
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Fax | 562-316-5123
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Provider Business Mailing Address
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Address Line | 1901 E LAMBERT RD STE 202
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City | LA HABRA
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State | CA
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Zip | 90631-5757
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Country | US
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Telephone | 562-316-5311
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Fax | 562-316-5123
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARK SY
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Credential | PT, DPT
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Telephone | 714-721-7995
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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 |
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