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General NPI Number Information
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NPI Number | 1376662353
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Entity Type | Organization
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Legal Business Name | HEALING WAVE HOME HEALTH AGENCY, INC
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11755 VICTORY BLVD STE 180
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-3468
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Country | US
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Telephone | 818-929-9968
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Fax |
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Provider Business Mailing Address
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Address Line | 1233 BERKELEY ST APT 7
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City | SANTA MONICA
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State | CA
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Zip | 90404-1629
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ALBERT FINKELSHTEIN
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Credential |
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Telephone | 818-929-9968
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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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