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General NPI Number Information
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NPI Number | 1356663033
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Entity Type | Organization
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Legal Business Name | ASSURED INHOME CARE OF LOS ANGELES
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Dates
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Enumeration Date | 02/22/2010
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Last Update Date | 02/22/2010
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Provider Practice Location Address
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Address Line | 12741 BELLFLOWER BLVD
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City | DOWNEY
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State | CA
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Zip | 90242-4800
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Country | US
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Telephone | 180-092-5715
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Fax | 156-294-0193
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Provider Business Mailing Address
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Address Line | 12741 BELLFLOWER BLVD
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City | DOWNEY
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State | CA
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Zip | 90242-4800
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Country | US
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Telephone | 180-092-5715
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Fax | 156-294-0193
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DALE PRINCE
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Credential |
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Telephone | 18009257159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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