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General NPI Number Information
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NPI Number | 1558854570
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Entity Type | Organization
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Legal Business Name | FAST AID HOME CARE INC
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Dates
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Enumeration Date | 06/13/2018
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Last Update Date | 02/12/2021
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Provider Practice Location Address
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Address Line | 7018 OWENSMOUTH AVE # 205
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City | CANOGA PARK
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State | CA
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Zip | 91303-2073
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Country | US
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Telephone | 818-878-8558
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Fax |
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Provider Business Mailing Address
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Address Line | 7018 OWENSMOUTH AVE STE 205
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City | CANOGA PARK
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State | CA
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Zip | 91303-2073
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Country | US
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Telephone | 818-878-8558
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Fax | 818-737-7297
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Authorized Official
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Title or Position | PRESIDENT
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Name | NELLI GEVORGYAN
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Credential |
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Telephone | 818-878-8558
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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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