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General NPI Number Information
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NPI Number | 1508307067
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Entity Type | Organization
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Legal Business Name | PEOPLE EMPOWERING PEOPLE, LLC
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Dates
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Enumeration Date | 03/17/2017
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Last Update Date | 03/17/2017
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Provider Practice Location Address
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Address Line | 1050 LAKES DR SUITE 250
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City | WEST COVINA
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State | CA
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Zip | 91790-2924
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Country | US
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Telephone | 626-538-7578
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 660820
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City | ARCADIA
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State | CA
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Zip | 91066-0820
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Country | US
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Telephone | 626-786-7251
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR/MANAGING MEMBER
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Name | MS. MILLICENT WANZO
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Credential |
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Telephone | 626-786-7251
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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 | 194700426
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License Number State | CA
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