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General NPI Number Information
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NPI Number | 1457954851
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Entity Type | Organization
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Legal Business Name | MY MED HOME CARE
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Dates
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Enumeration Date | 11/18/2020
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Last Update Date | 11/18/2020
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Provider Practice Location Address
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Address Line | 9010 CORBIN AVE STE 12B
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City | NORTHRIDGE
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State | CA
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Zip | 91324-3344
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Country | US
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Telephone | 888-804-4604
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Fax | 818-739-6835
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Provider Business Mailing Address
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Address Line | 9010 CORBIN AVE STE 12B
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City | NORTHRIDGE
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State | CA
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Zip | 91324-3344
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Country | US
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Telephone | 888-804-4604
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Fax | 818-739-6835
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Authorized Official
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Title or Position | CEO
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Name | ARMAN HAKHVERDYAN
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Credential |
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Telephone | 888-804-4604
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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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