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General NPI Number Information
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NPI Number | 1477661601
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Entity Type | Organization
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Legal Business Name | NU-ERA HOME HEALTH AGENCY, INC
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 01/11/2018
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Provider Practice Location Address
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Address Line | 29000 S WESTERN AVE STE 207
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-0890
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Country | US
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Telephone | 909-890-9111
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Fax | 310-973-6361
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Provider Business Mailing Address
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Address Line | 1822 E. ROUTE 66 SUITE A PMB 213
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City | GLENDORA
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State | CA
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Zip | 91740-3800
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Country | US
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Telephone | 909-890-9111
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Fax | 310-973-6361
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Authorized Official
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Title or Position | CEO
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Name | MR. BARRINGTON FITZGERALD RICHARDS
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Credential |
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Telephone | 909-890-9111
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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 | 980001475
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License Number State | CA
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