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General NPI Number Information
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NPI Number | 1437310893
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Entity Type | Organization
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Legal Business Name | ORCHID HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 06/18/2008
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Last Update Date | 07/30/2010
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Provider Practice Location Address
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Address Line | 299 W HILLCREST DR SUITE 114
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-4264
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Country | US
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Telephone | 805-496-5446
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Fax | 805-435-2678
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Provider Business Mailing Address
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Address Line | 299 W HILLCREST DR SUITE 114
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-4264
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Country | US
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Telephone | 805-496-5446
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Fax | 805-435-2678
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL M PEGULA
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Credential |
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Telephone | 805-496-5446
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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 | CA0550001100
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License Number State | CA
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