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General NPI Number Information
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NPI Number | 1568919637
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Entity Type | Organization
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Legal Business Name | GOD'S PERFECT MATCH LLC
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Dates
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Enumeration Date | 09/07/2016
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Last Update Date | 09/07/2016
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Provider Practice Location Address
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Address Line | 21515 HAWTHORNE BLVD SUITE 200
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City | TORRANCE
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State | CA
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Zip | 90503
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Country | US
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Telephone | 323-203-7860
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Fax |
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Provider Business Mailing Address
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Address Line | 1525 W 96 ST
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City | LOS ANGELES
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State | CA
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Zip | 90047
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Country | US
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Telephone | 310-270-7652
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TARA MURRAY
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Credential |
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Telephone | 310-270-7652
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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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