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General NPI Number Information
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NPI Number | 1225090863
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Entity Type | Organization
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Legal Business Name | GREATER SOUTH BAY AREA HOME HEALTH, INC.
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 680 KNOX ST SUITE 125
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City | TORRANCE
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State | CA
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Zip | 90502-1305
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Country | US
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Telephone | 310-329-4835
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Fax | 310-329-4894
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Provider Business Mailing Address
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Address Line | 680 KNOX STREET SUITE 125
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City | TORRANCE
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State | CA
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Zip | 90502-1342
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Country | US
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Telephone | 310-329-4835
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Fax | 310-329-4894
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. LILIA CRISOSTOMO RAMOS
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Credential | R.N.
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Telephone | 310-329-4835
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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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