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General NPI Number Information
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NPI Number | 1447521182
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Entity Type | Organization
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Legal Business Name | P.A.L. LOVING CARE HOME HEALTH, INC.
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Dates
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Enumeration Date | 01/25/2012
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Last Update Date | 01/25/2012
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Provider Practice Location Address
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Address Line | 210 N CENTRAL AVE STE 220
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City | GLENDALE
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State | CA
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Zip | 91203-2595
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Country | US
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Telephone | 818-244-7212
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Fax | 818-244-7209
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Provider Business Mailing Address
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Address Line | 210 N CENTRAL AVE STE 220
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City | GLENDALE
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State | CA
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Zip | 91203-2595
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LOUIS PHILLIP TAN TENG
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Credential |
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Telephone | 818-244-7212
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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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