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General NPI Number Information
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NPI Number | 1376729483
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Entity Type | Organization
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Legal Business Name | ACCENTCARE HOME HEALTH OF CALIFORNIA, INC.
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Dates
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Enumeration Date | 01/18/2008
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Last Update Date | 12/13/2023
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Provider Practice Location Address
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Address Line | 2934 E GARVEY AVE S STE 210
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City | WEST COVINA
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State | CA
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Zip | 91791
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Country | US
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Telephone | 626-966-2545
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Fax |
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Provider Business Mailing Address
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Address Line | 17855 DALLAS PKWY STE 200
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City | DALLAS
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State | TX
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Zip | 75287-6857
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Country | US
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Telephone | 972-201-6000
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Fax |
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Authorized Official
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Title or Position | VP LEGAL
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Name | M'LISS JONES KANE
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Credential |
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Telephone | 949-623-1582
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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 | 980000845
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License Number State | CA
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