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General NPI Number Information
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NPI Number | 1558642462
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Entity Type | Organization
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Legal Business Name | MANAGE KARE INC
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Dates
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Enumeration Date | 09/06/2011
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Last Update Date | 09/06/2011
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Provider Practice Location Address
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Address Line | 17777 VENTURA BLVD STE 121
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City | ENCINO
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State | CA
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Zip | 91316-3738
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Country | US
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Telephone | 818-654-8377
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Fax | 818-332-4285
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Provider Business Mailing Address
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Address Line | 17777 VENTURA BLVD STE 121
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City | ENCINO
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State | CA
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Zip | 91316-3738
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Country | US
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Telephone | 818-654-8377
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Fax | 818-332-4285
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. TATYANA BERKOVICH
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Credential |
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Telephone | 818-371-9116
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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 | 0002573557-0001-2
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License Number State | CA
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