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General NPI Number Information
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NPI Number | 1235743683
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Entity Type | Organization
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Legal Business Name | COMPLIANCE HOME HEALTH CARE SERVICES, INC.
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Dates
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Enumeration Date | 09/02/2020
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Last Update Date | 09/02/2020
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Provider Practice Location Address
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Address Line | 2130 N ARROWHEAD AVE STE C
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City | SAN BERNARDINO
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State | CA
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Zip | 92405-4029
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Country | US
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Telephone | 818-428-5687
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Fax | 909-713-2122
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Provider Business Mailing Address
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Address Line | 2130 N ARROWHEAD AVE STE C
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City | SAN BERNARDINO
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State | CA
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Zip | 92405-4029
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Country | US
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Telephone | 818-428-5687
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Fax | 909-713-2122
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Authorized Official
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Title or Position | DPCS
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Name | JULIETA ANTONIO
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Credential | RN
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Telephone | 818-428-5687
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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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