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General NPI Number Information
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NPI Number | 1295245462
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Entity Type | Organization
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Legal Business Name | VETERANS HOME HEALTHCARE PARTNERS
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Dates
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Enumeration Date | 10/02/2017
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Last Update Date | 10/02/2017
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Provider Practice Location Address
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Address Line | 1208 W 146TH ST
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City | GARDENA
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State | CA
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Zip | 90247-2516
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Country | US
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Telephone | 619-678-3477
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Fax | 619-476-2247
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Provider Business Mailing Address
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Address Line | 1208 W 146TH ST
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City | GARDENA
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State | CA
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Zip | 90247-2516
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Country | US
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Telephone | 619-678-3477
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Fax | 619-476-2247
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Authorized Official
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Title or Position | OWNER
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Name | GERARDO A FELIX
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Credential | CA HCO 194700451
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Telephone | 619-678-3477
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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 | 194700451
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License Number State | CA
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