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General NPI Number Information
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NPI Number | 1295870228
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Entity Type | Organization
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Legal Business Name | PASADENA HOME HEALTH CARE
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 01/10/2008
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Provider Practice Location Address
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Address Line | 3821 E SIERRA MADRE BLVD
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City | PASADENA
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State | CA
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Zip | 91107-1948
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Country | US
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Telephone | 626-351-1300
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Fax | 626-351-1328
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Provider Business Mailing Address
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Address Line | 3821 E SIERRA MADRE BLVD
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City | PASADENA
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State | CA
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Zip | 91107-1948
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Country | US
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Telephone | 626-351-1300
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Fax | 626-351-1328
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Authorized Official
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Title or Position | CEO CFO ADMINISTRATOR PRESIDENT
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Name | MR. VAHAN DOVLATYAN
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Credential | HOME HEALTH
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Telephone | 626-351-1300
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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 | 251E00000X
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License Number State | CA
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