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General NPI Number Information
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NPI Number | 1508267865
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Entity Type | Organization
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Legal Business Name | ODEN HOME HEALTH, LLC
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Dates
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Enumeration Date | 09/05/2014
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Last Update Date | 04/04/2018
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Provider Practice Location Address
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Address Line | 511 E HARVARD ST STE 8
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City | GLENDALE
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State | CA
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Zip | 91205-1184
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Country | US
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Telephone | 818-649-1335
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Fax | 818-649-1336
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Provider Business Mailing Address
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Address Line | 511 E HARVARD ST STE 8
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City | GLENDALE
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State | CA
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Zip | 91205-1184
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Country | US
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Telephone | 818-649-1335
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Fax | 818-649-1336
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANNA ARUTYUNYAN
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Credential |
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Telephone | 818-649-1335
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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 | 550003993
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License Number State | CA
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