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General NPI Number Information
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NPI Number | 1467684993
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Entity Type | Organization
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Legal Business Name | ACA HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 08/18/2009
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Last Update Date | 03/05/2012
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Provider Practice Location Address
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Address Line | 223 E THOUSAND OAKS BLVD SUITE 407
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-5803
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Country | US
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Telephone | 805-497-2773
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Fax | 805-497-3027
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Provider Business Mailing Address
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Address Line | 223 E THOUSAND OAKS BLVD SUITE 407
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-5803
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Country | US
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Telephone | 805-497-2773
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Fax | 805-497-3027
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. RIPSIME PETROSYAN
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Credential | RN
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Telephone | 805-497-2773
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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 | 550001446
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License Number State | CA
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