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General NPI Number Information
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NPI Number | 1598169864
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Entity Type | Organization
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Legal Business Name | THRIVE HOME HEALTH INC.
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Dates
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Enumeration Date | 10/15/2014
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Last Update Date | 10/15/2014
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Provider Practice Location Address
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Address Line | 10523 BURBANK BLVD SUITE #202
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91601-2233
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Country | US
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Telephone | 818-853-7285
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Fax | 818-853-7286
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Provider Business Mailing Address
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Address Line | 10523 BURBANK BLVD SUITE #202
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91601-2233
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Country | US
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Telephone | 818-853-7285
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Fax | 818-853-7286
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Authorized Official
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Title or Position | CEO
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Name | MS. SIRANUSH TASHCHYAN
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Credential |
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Telephone | 818-853-7285
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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 | 0002751795-0001-8
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License Number State | CA
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