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General NPI Number Information
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NPI Number | 1316513013
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Entity Type | Organization
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Legal Business Name | ANGEL CITY HOME HEALTH CARE
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Dates
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Enumeration Date | 06/02/2021
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Last Update Date | 03/02/2022
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Provider Practice Location Address
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Address Line | 3504 W MAGNOLIA BLVD STE 208
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City | BURBANK
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State | CA
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Zip | 91505-2911
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Country | US
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Telephone | 323-610-3462
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Fax | 818-301-2000
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Provider Business Mailing Address
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Address Line | 3504 W MAGNOLIA BLVD STE 208
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City | BURBANK
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State | CA
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Zip | 91505-2911
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Country | US
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Telephone | 323-610-3462
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Fax | 818-301-2000
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Authorized Official
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Title or Position | OWNER
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Name | ARSHAK GASPARYAN
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Credential |
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Telephone | 323-610-3462
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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 |
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License Number State |
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