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General NPI Number Information
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NPI Number | 1255016341
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Entity Type | Organization
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Legal Business Name | AMERICAN INTERNATIOMAL CAREGIVER SERVICE, INC.
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Dates
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Enumeration Date | 06/16/2023
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Last Update Date | 06/16/2023
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Provider Practice Location Address
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Address Line | 5150 WILSHIRE BLVD STE 360
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City | LOS ANGELES
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State | CA
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Zip | 90036-4480
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Country | US
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Telephone | 323-934-4749
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Fax | 323-965-8574
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Provider Business Mailing Address
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Address Line | 5150 WILSHIRE BLVD STE 360
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City | LOS ANGELES
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State | CA
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Zip | 90036-4480
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Country | US
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Telephone | 323-934-4749
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Fax | 323-965-8574
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Authorized Official
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Title or Position | PATIENT CARE COORDINATOR
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Name | JAN MICHAEL TAGUIAM
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Credential |
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Telephone | 323-934-4749
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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