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General NPI Number Information
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NPI Number | 1598166779
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Entity Type | Organization
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Legal Business Name | MACHI CAREGIVER & ASSOCIATES
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Dates
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Enumeration Date | 09/08/2014
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Last Update Date | 09/08/2014
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Provider Practice Location Address
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Address Line | 44221 RAVEN LANE
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City | LANCASTER
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State | CA
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Zip | 93536
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Country | US
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Telephone | 661-209-7171
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Fax | 661-945-6182
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Provider Business Mailing Address
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Address Line | 44221 RAVEN LANE
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City | LANCASTER
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State | CA
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Zip | 93536
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Country | US
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Telephone | 661-209-7171
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Fax | 661-945-6182
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Authorized Official
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Title or Position | HOME HEALTH AIDE/HEALTHCARE ADMINIS
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Name | BETTY MINIKWU
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Credential | HOME HEALTH AIDE/HEA
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Telephone | 661-209-7171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 120562
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License Number State | CA
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