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General NPI Number Information
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NPI Number | 1467400234
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Entity Type | Organization
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Legal Business Name | HYE NURSES HOME HEALTH INC.
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 09/15/2008
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Provider Practice Location Address
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Address Line | 12011 VICTORY BLVD SUITE 202
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-3330
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Country | US
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Telephone | 818-509-1892
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Fax | 818-509-1893
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Provider Business Mailing Address
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Address Line | 12011 VICTORY BLVD SUITE 202
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-3330
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Country | US
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Telephone | 818-509-1892
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Fax | 818-509-1893
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Authorized Official
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Title or Position | ADMINISTRATOR/DPCS
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Name | RIMA AVETISYAN
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Credential | RN
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Telephone | 818-509-1892
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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 | 980002307
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License Number State | CA
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