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General NPI Number Information
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NPI Number | 1568556801
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Entity Type | Organization
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Legal Business Name | EXCELLENCE HOME HEALTH CARE AGENCY, INC.
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 07/20/2010
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Provider Practice Location Address
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Address Line | 11760 CENTRAL AVE SUITE 200
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City | CHINO
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State | CA
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Zip | 91710-6499
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Country | US
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Telephone | 877-591-1731
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Fax | 909-591-6031
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Provider Business Mailing Address
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Address Line | 11760 CENTRAL AVE SUITE 200
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City | CHINO
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State | CA
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Zip | 91710-1900
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Country | US
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Telephone | 877-591-1731
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Fax | 909-591-6031
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. THI ANH DOAN
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Credential |
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Telephone | 877-591-1731
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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 | 240000872
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License Number State | CA
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