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General NPI Number Information
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NPI Number | 1396571071
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Entity Type | Organization
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Legal Business Name | PALMS HOME CARE INC .
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Dates
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Enumeration Date | 09/10/2024
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 5761 EXPEDITION WAY
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City | PALMDALE
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State | CA
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Zip | 93552-3324
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Country | US
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Telephone | 323-637-9930
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Fax |
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Provider Business Mailing Address
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Address Line | 5761 EXPEDITION WAY
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City | PALMDALE
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State | CA
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Zip | 93552-3324
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Country | US
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Telephone | 323-637-9930
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARLEN LOPEZ
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Credential |
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Telephone | 323-637-9930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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