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General NPI Number Information
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NPI Number | 1396239000
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Entity Type | Organization
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Legal Business Name | AEGIS HEALTH LLC
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Dates
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Enumeration Date | 06/15/2018
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Last Update Date | 02/13/2021
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Provider Practice Location Address
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Address Line | 237 CHURCH AVE
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City | CHULA VISTA
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State | CA
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Zip | 91910-2702
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Country | US
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Telephone | 619-504-5274
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Fax |
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Provider Business Mailing Address
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Address Line | 801 HUMPHREY PL
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City | CHULA VISTA
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State | CA
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Zip | 91911-6946
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Country | US
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Telephone | 619-504-5274
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. VIVIEN LIM
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Credential | RN
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Telephone | 619-504-5274
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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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