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General NPI Number Information
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NPI Number | 1528540754
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Entity Type | Organization
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Legal Business Name | CROWN HOME CARE INC
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Dates
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Enumeration Date | 09/04/2018
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Last Update Date | 09/04/2018
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Provider Practice Location Address
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Address Line | 1007 S CENTRAL AVE STE 202
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City | GLENDALE
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State | CA
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Zip | 91204-3946
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Country | US
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Telephone | 818-696-9229
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Fax | 818-696-9230
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Provider Business Mailing Address
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Address Line | 1007 S CENTRAL AVE STE 202
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City | GLENDALE
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State | CA
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Zip | 91204-3946
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Country | US
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Telephone | 818-696-9229
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Fax | 818-696-9230
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Authorized Official
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Title or Position | CFO
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Name | AVETIS ORDAKIAN
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Credential |
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Telephone | 818-696-9229
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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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