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General NPI Number Information
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NPI Number | 1306551650
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Entity Type | Organization
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Legal Business Name | NOVA HOME HEALTH LLC
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Dates
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Enumeration Date | 01/20/2023
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Last Update Date | 01/20/2023
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Provider Practice Location Address
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Address Line | 4000 HOLLYWOOD BLVD STE 555SOUTH
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6751
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Country | US
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Telephone | 818-307-3675
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Fax |
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Provider Business Mailing Address
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Address Line | 225 E BROADWAY STE 302
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City | GLENDALE
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State | CA
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Zip | 91205-1008
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Country | US
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Telephone | 818-307-3675
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Fax |
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Authorized Official
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Title or Position | COUNSEL
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Name | MR. DAVIT ZARGARYAN
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Credential |
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Telephone | 818-307-3675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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