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General NPI Number Information
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NPI Number | 1548723059
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Entity Type | Organization
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Legal Business Name | ENHANCE HOME HEALTH SERVICES
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Dates
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Enumeration Date | 04/11/2019
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 6101 BOLLINGER CANYON RD STE 380&381
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City | SAN RAMON
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State | CA
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Zip | 94583-5108
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Country | US
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Telephone | 925-804-6551
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Fax | 925-804-6532
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Provider Business Mailing Address
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Address Line | 6101 BOLLINGER CANYON RD STE 380
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City | SAN RAMON
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State | CA
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Zip | 94583-5118
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Country | US
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Telephone | 925-804-6551
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Fax | 925-804-6532
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | NILISHA MIKKLINENI
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Credential | PT
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Telephone | 925-804-6551
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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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