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General NPI Number Information
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NPI Number | 1235690793
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Entity Type | Organization
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Legal Business Name | VISITING ANGELS LIVING ASSISTANCE SERVICES OF ORANGE COUNTY
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Dates
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Enumeration Date | 03/27/2019
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Last Update Date | 04/03/2020
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Provider Practice Location Address
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Address Line | 11602 KNOTT ST STE 7
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City | GARDEN GROVE
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State | CA
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Zip | 92841-1825
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Country | US
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Telephone | 714-379-4546
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Fax | 714-379-5484
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Provider Business Mailing Address
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Address Line | 11602 KNOTT ST STE 7
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City | GARDEN GROVE
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State | CA
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Zip | 92841-1825
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Country | US
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Telephone | 714-379-4546
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Fax | 714-379-5484
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. KELLY ANVARI
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Credential |
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Telephone | 714-379-4546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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