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General NPI Number Information
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NPI Number | 1558729053
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Entity Type | Organization
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Legal Business Name | PANDA HOME HEALTHCARE INC
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Dates
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Enumeration Date | 01/29/2016
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 410 S SAN GABRIEL BLVD #A
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City | SAN GABRIEL
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State | CA
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Zip | 91776-1955
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Country | US
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Telephone | 626-617-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 410 S SAN GABRIEL BLVD STE A
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City | SAN GABRIEL
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State | CA
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Zip | 91776-1956
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Country | US
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Telephone | 626-486-9232
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Fax | 626-656-6390
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Authorized Official
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Title or Position | PRESIDENT
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Name | HUI MIAO
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Credential |
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Telephone | 626-486-9232
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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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