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General NPI Number Information
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NPI Number | 1386068351
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Entity Type | Organization
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Legal Business Name | TRUSTED CARE HOME HEALTH CORP
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Dates
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Enumeration Date | 02/12/2014
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Last Update Date | 09/23/2015
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Provider Practice Location Address
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Address Line | 1505 4TH ST SUITE 206
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City | SANTA MONICA
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State | CA
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Zip | 90401-2347
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Country | US
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Telephone | 424-322-7262
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Fax | 424-322-7251
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Provider Business Mailing Address
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Address Line | 1505 4TH ST SUITE 206
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City | SANTA MONICA
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State | CA
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Zip | 90401-2347
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Country | US
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Telephone | 424-322-7262
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Fax | 424-322-7251
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAY ALFONSO
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Credential |
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Telephone | 714-495-9702
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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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