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General NPI Number Information
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NPI Number | 1396832952
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Entity Type | Organization
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Legal Business Name | INFINITE HOME HEALTH, INC.
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 07/12/2016
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Provider Practice Location Address
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Address Line | 875 S WESTLAKE BLVD SUITE # 205
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-2902
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Country | US
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Telephone | 805-497-1777
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Fax | 805-497-7771
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Provider Business Mailing Address
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Address Line | 875 S WESTLAKE BLVD SUITE # 205
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-2902
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Country | US
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Telephone | 805-497-1777
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Fax | 805-497-7771
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Authorized Official
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Title or Position | CEO CFO
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Name | MR. TAIMOOR BIDARI
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Credential | MS, PE
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Telephone | 805-497-1777
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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 | 050000594
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License Number State | CA
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