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General NPI Number Information
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NPI Number | 1437802048
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Entity Type | Organization
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Legal Business Name | PRIMA HOME HEALTH, INC.
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Dates
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Enumeration Date | 02/02/2022
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Last Update Date | 02/02/2022
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Provider Practice Location Address
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Address Line | 23542 LYONS AVE STE 211
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City | SANTA CLARITA
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State | CA
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Zip | 91321-5708
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Country | US
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Telephone | 818-319-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 23542 LYONS AVE STE 211
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City | SANTA CLARITA
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State | CA
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Zip | 91321-5708
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Country | US
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Telephone | 818-319-2222
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. TIGRAN GRIGORYAN
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Credential |
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Telephone | 818-319-2222
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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 |
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License Number State |
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