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General NPI Number Information
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NPI Number | 1396101879
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Entity Type | Organization
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Legal Business Name | LOVE APPARENT SENIOR SERVICES LLC
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Dates
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Enumeration Date | 01/13/2016
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Last Update Date | 01/13/2016
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Provider Practice Location Address
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Address Line | 2672 LONGVIEW DRIVE
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City | RICHMOND
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State | CA
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Zip | 95806
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Country | US
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Telephone | 888-568-3312
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 596
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City | RODEO
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State | CA
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Zip | 94572-0596
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Country | US
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Telephone | 888-568-3312
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. VERONICA RIVERA
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Credential |
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Telephone | 888-568-3312
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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 | 15-06036
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License Number State | CA
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