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General NPI Number Information
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NPI Number | 1568548873
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Entity Type | Organization
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Legal Business Name | AAA HOME CARE, INC., A CALIFORNIA CORPORATION
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Dates
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Enumeration Date | 10/29/2006
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Last Update Date | 05/22/2012
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Provider Practice Location Address
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Address Line | 541 W COLORADO ST STE 207
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City | GLENDALE
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State | CA
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Zip | 91204-3640
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Country | US
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Telephone | 818-662-8866
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Fax |
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Provider Business Mailing Address
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Address Line | 541 W COLORADO ST STE 207
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City | GLENDALE
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State | CA
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Zip | 91204-3640
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Country | US
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Telephone | 818-662-8866
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, ADMINISTRATOR
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Name | MS. ISABELLE DAVIDIAN
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Credential | RN, BSN, PHN
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Telephone | 818-662-8866
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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 | 550000240
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License Number State | CA
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