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General NPI Number Information
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NPI Number | 1528040284
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Entity Type | Organization
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Legal Business Name | MC HOME HEALTH SERVICES, INC
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Dates
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Enumeration Date | 11/17/2005
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Last Update Date | 07/10/2007
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Provider Practice Location Address
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Address Line | 18800 AMAR RD SUITE B-5
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City | WALNUT
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State | CA
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Zip | 91789-4166
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Country | US
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Telephone | 626-854-1450
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Fax | 626-854-1451
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Provider Business Mailing Address
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Address Line | 18800 AMAR RD SUITE B-5
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City | WALNUT
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State | CA
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Zip | 91789-4166
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Country | US
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Telephone | 626-854-1450
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Fax | 626-854-1451
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MARILYN BALAUAG CABICO
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Credential | RN
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Telephone | 626-854-1450
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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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