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General NPI Number Information
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NPI Number | 1275430282
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Entity Type | Organization
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Legal Business Name | ELMIRA RECUPERATIVE CARE LLC
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Dates
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Enumeration Date | 10/22/2026
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Last Update Date | 10/22/2026
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Provider Practice Location Address
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Address Line | 1555 PEPPER CT
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City | HIGHLAND
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State | CA
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Zip | 92346-3026
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Country | US
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Telephone | 888-683-6608
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 N CENTRAL AVE # 313
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City | GLENDALE
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State | CA
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Zip | 91202-2937
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | EMIL AGHAKIAN
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Credential |
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Telephone | 888-683-6608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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