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General NPI Number Information
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NPI Number | 1528541935
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Entity Type | Organization
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Legal Business Name | VIRA HOME CARE
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Dates
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Enumeration Date | 09/11/2018
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Last Update Date | 09/11/2018
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Provider Practice Location Address
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Address Line | 3200 GOLF COURSE DR # 205
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City | VENTURA
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State | CA
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Zip | 93003-7696
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Country | US
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Telephone | 805-873-2711
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Fax |
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Provider Business Mailing Address
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Address Line | 235 N MOORPARK RD # A-1481
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-4311
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Country | US
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Telephone | 805-873-2711
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JENNY DIEGO
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Credential |
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Telephone | 805-873-2711
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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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