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General NPI Number Information
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NPI Number | 1427449206
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Entity Type | Organization
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Legal Business Name | SHARPLINE HOME CARE LLC
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Dates
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Enumeration Date | 02/14/2015
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Last Update Date | 02/14/2015
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Provider Practice Location Address
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Address Line | 42800 BOB HOPE DR 209F
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-4437
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Country | US
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Telephone | 760-340-1909
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Fax | 760-568-2498
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Provider Business Mailing Address
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Address Line | 42800 BOB HOPE DR 209F
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-4437
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Country | US
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Telephone | 760-340-1909
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Fax | 760-568-2498
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Authorized Official
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Title or Position | OWNER
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Name | MRS. HILDA RODGERS
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Credential | REGISTERED NURSE
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Telephone | 760-340-1909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 042077
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License Number State | CA
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