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General NPI Number Information
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NPI Number | 1376742262
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE CERTIFIED HOME HEALTH SERVICES OF CALIFORNIA, LLC
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 07/12/2007
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Provider Practice Location Address
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Address Line | 1125 S BEVERLY DR
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City | LOS ANGELES
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State | CA
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Zip | 90035-1148
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Country | US
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Telephone | 310-651-6403
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Fax | 310-553-9010
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Provider Business Mailing Address
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Address Line | 1125 S BEVERLY DR
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City | LOS ANGELES
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State | CA
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Zip | 90035-1148
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Country | US
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Telephone | 310-651-6403
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Fax | 310-553-9010
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. NATHAN SKLAR
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Credential |
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Telephone | 212-539-0257
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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 | CA
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