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General NPI Number Information
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NPI Number | 1376829770
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Entity Type | Organization
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Legal Business Name | NU-ERA HOME HEALTH AGENCY, INC
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Dates
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Enumeration Date | 10/30/2011
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Last Update Date | 04/17/2014
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Provider Practice Location Address
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Address Line | 225 WEST HOSPITALITY LN #200
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-2739
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Country | US
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Telephone | 909-890-9111
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Fax | 909-890-5256
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Provider Business Mailing Address
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Address Line | 225 WEST HOSPITALITY LN #200
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-2739
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Country | US
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Telephone | 909-890-9111
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Fax | 909-890-5256
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Authorized Official
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Title or Position | CEO
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Name | BARRINGTON RICHARDS
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Credential |
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Telephone | 213-200-5300
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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 | 2462968
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License Number State | CA
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