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General NPI Number Information
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NPI Number | 1508451766
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Entity Type | Organization
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Legal Business Name | DAZIONS HOME HEALTH SERVICES LLC
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Dates
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Enumeration Date | 03/09/2021
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Last Update Date | 03/09/2021
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Provider Practice Location Address
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Address Line | 1003 E COOLEY DR STE 208
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City | COLTON
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State | CA
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Zip | 92324-3907
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Country | US
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Telephone | 408-966-5739
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Fax |
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Provider Business Mailing Address
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Address Line | 5742 BAY HILL LN
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City | FONTANA
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State | CA
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Zip | 92336-5141
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Country | US
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Telephone | 408-966-5739
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CHIDI DURU
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Credential |
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Telephone | 408-966-5739
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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 |
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