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General NPI Number Information
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NPI Number | 1508665951
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Entity Type | Organization
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Legal Business Name | SOLORA HOME CARE LLC
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 21255 BURBANK BLVD STE 120
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-6669
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Country | US
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Telephone | 408-807-6935
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Fax |
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Provider Business Mailing Address
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Address Line | 8335 WINNETKA AVE # 276
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City | WINNETKA
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State | CA
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Zip | 91306-1630
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | WASEEM BALLOU
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Credential |
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Telephone | 408-807-6935
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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