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General NPI Number Information
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NPI Number | 1447902812
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Entity Type | Organization
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Legal Business Name | OPTIMAL CARE SERVICE
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Dates
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Enumeration Date | 01/26/2022
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Last Update Date | 09/29/2022
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Provider Practice Location Address
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Address Line | 10714 1/2 RIVERSIDE DRIVE
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91602-1000
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Country | US
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Telephone | 747-224-2488
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Fax |
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Provider Business Mailing Address
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Address Line | 10714 1/2 RIVERSIDE DRIVE
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91602-1000
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Country | US
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Telephone | 747-224-2488
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. KAREN ASOURIAN
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Credential |
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Telephone | 323-640-0044
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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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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3416A0800X
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Taxonomy Name | Air Ambulance
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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