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General NPI Number Information
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NPI Number | 1215690938
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Entity Type | Organization
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Legal Business Name | FAST DOC HOME HEALTH INC
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Dates
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Enumeration Date | 10/19/2021
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 1314 W GLENOAKS BLVD SUITE 101
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City | GLENDALE
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State | CA
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Zip | 91201-3141
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Country | US
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Telephone | 424-421-1231
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Fax | 424-421-2083
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Provider Business Mailing Address
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Address Line | 1314 W GLENOAKS BLVD SUITE 101
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City | GLENDALE
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State | CA
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Zip | 91201-3141
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Country | US
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Telephone | 424-421-1231
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Fax | 424-421-2083
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Authorized Official
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Title or Position | CEO, ADMINISTRATOR
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Name | MS. EVERLITA DU
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Credential | LVN
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Telephone | 424-421-1231
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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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