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General NPI Number Information
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NPI Number | 1548408636
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Entity Type | Organization
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Legal Business Name | ALSA HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 01/27/2009
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Last Update Date | 04/11/2019
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Provider Practice Location Address
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Address Line | 640 S SUNSET AVE STE 109
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City | WEST COVINA
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State | CA
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Zip | 91790-2808
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Country | US
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Telephone | 626-337-0589
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Fax | 626-765-3499
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Provider Business Mailing Address
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Address Line | 640 S SUNSET AVE STE 109
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City | WEST COVINA
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State | CA
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Zip | 91790-2808
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Country | US
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Telephone | 626-337-0589
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Fax | 626-765-3499
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Authorized Official
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Title or Position | CEO
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Name | MR. RICARDO ZAMORA
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Credential |
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Telephone | 626-337-0589
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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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