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General NPI Number Information
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NPI Number | 1225090681
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Entity Type | Organization
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Legal Business Name | EMINENCE HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 04/03/2006
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Last Update Date | 03/26/2018
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Provider Practice Location Address
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Address Line | 5810 MONTEREY RD
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City | LOS ANGELES
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State | CA
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Zip | 90042-4926
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Country | US
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Telephone | 818-830-7113
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Fax | 818-830-1633
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Provider Business Mailing Address
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Address Line | 5810 MONTEREY RD
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City | LOS ANGELES
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State | CA
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Zip | 90042-4926
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Country | US
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Telephone | 818-830-7113
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Fax | 818-830-1633
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Authorized Official
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Title or Position | CEO - ADMINISTRATOR
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Name | MR. OSCAR ABAYA PAREL
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Credential | N/A
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Telephone | 818-830-7113
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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 | 980000929
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License Number State | CA
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