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General NPI Number Information
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NPI Number | 1245432905
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Entity Type | Organization
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Legal Business Name | SUPERIOR HOME HEALTH SERVICES, INC
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 03/20/2014
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Provider Practice Location Address
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Address Line | 7352 FOOTHILL BLVD. SUITE 102
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City | TUJUNGA
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State | CA
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Zip | 91042-4302
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Country | US
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Telephone | 818-957-9991
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Fax | 800-418-9091
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Provider Business Mailing Address
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Address Line | 7352 FOOTHILL BLVD. SUITE 102
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City | TUJUNGA
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State | CA
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Zip | 91042-4302
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Country | US
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Telephone | 818-957-9991
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Fax | 800-418-9091
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ANDRE DAVOODIAN
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Credential |
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Telephone | 818-957-9991
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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 | 550000324
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License Number State | CA
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