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General NPI Number Information
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NPI Number | 1477765261
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Entity Type | Organization
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Legal Business Name | C.C.H.N., INC.
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12722 RIVERSIDE DRIVE SUITE 108
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91607
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Country | US
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Telephone | 818-753-5106
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Fax |
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Provider Business Mailing Address
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Address Line | 12722 RIVERSIDE DRIVE SUITE 108
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91607
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Country | US
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Telephone | 818-753-5106
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. MARYANNE ANITA SAWOSKI
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Credential |
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Telephone | 818-753-5106
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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 | CA
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