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General NPI Number Information
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NPI Number | 1326856261
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Entity Type | Organization
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Legal Business Name | KARAKUNNEL HOME CARE VENTURES LLC
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Dates
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Enumeration Date | 12/23/2024
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 18514 MACK AVE STE 101
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City | GROSSE POINTE FARMS
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State | MI
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Zip | 48236-3294
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Country | US
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Telephone | 818-235-3849
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Fax |
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Provider Business Mailing Address
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Address Line | 10153 1/2 RIVERSIDE DR STE 515
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City | TOLUCA LAKE
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State | CA
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Zip | 91602-2561
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Country | US
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Telephone | 818-235-3849
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | BEN KARAKUNNEL
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Credential |
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Telephone | 818-235-3849
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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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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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