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General NPI Number Information
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NPI Number | 1558931774
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Entity Type | Organization
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Legal Business Name | ONE LOVE IN HOME CARE LLC
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Dates
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Enumeration Date | 06/29/2021
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Last Update Date | 10/27/2023
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Provider Practice Location Address
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Address Line | 1421 E COOLEY DR STE 14
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City | COLTON
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State | CA
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Zip | 92324-3979
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Country | US
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Telephone | 951-775-3994
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Fax | 909-699-0462
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Provider Business Mailing Address
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Address Line | 1421 E COOLEY DR STE 14
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City | COLTON
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State | CA
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Zip | 92324-3979
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Country | US
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Telephone | 951-775-3994
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Fax | 909-699-0462
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Authorized Official
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Title or Position | CEO/CFO/SECRETARY/BM/ADM/DPCS
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Name | CHRISTINE NATALIE RENEE HENRY
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Credential | CRNP
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Telephone | 951-775-3994
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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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