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General NPI Number Information
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NPI Number | 1396289138
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Entity Type | Organization
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Legal Business Name | YES A REFERRAL AGENCY LLC
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Dates
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Enumeration Date | 12/13/2016
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Last Update Date | 12/13/2016
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Provider Practice Location Address
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Address Line | 73241 HIGHWAY 111 SUITE 1C
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City | PALM DESERT
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State | CA
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Zip | 92260-3916
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Country | US
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Telephone | 760-773-4900
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Fax | 760-346-1700
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Provider Business Mailing Address
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Address Line | 73241 HIGHWAY 111 SUITE 1C
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City | PALM DESERT
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State | CA
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Zip | 92260-3916
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Country | US
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Telephone | 760-773-4900
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Fax | 760-346-1700
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Authorized Official
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Title or Position | OWNER
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Name | BOAZ SHAAR
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Credential |
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Telephone | 760-773-4900
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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 | 16-00058723
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License Number State | CA
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