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General NPI Number Information
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NPI Number | 1578857686
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Entity Type | Organization
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Legal Business Name | NEW WAVE HOME CARE, INC
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Dates
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Enumeration Date | 06/06/2011
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Last Update Date | 06/06/2011
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Provider Practice Location Address
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Address Line | 1350 N ALTADENA DR SUITE B
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City | PASADENA
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State | CA
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Zip | 91107-1458
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Country | US
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Telephone | 626-639-0226
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Fax | 626-283-5733
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Provider Business Mailing Address
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Address Line | 1350 N ALTADENA DR SUITE B
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City | PASADENA
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State | CA
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Zip | 91107-1458
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Country | US
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Telephone | 626-639-0226
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Fax | 626-283-5733
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAYASHREE KUMAR
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Credential |
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Telephone | 626-639-0226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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