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General NPI Number Information
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NPI Number | 1598171209
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Entity Type | Organization
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Legal Business Name | EMEDASSIST
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Dates
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Enumeration Date | 07/02/2014
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Last Update Date | 10/06/2019
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Provider Practice Location Address
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Address Line | 17402 CHATSWORTH STREET ST 201
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City | GRANADA HILLS
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State | CA
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Zip | 91344-7619
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Country | US
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Telephone | 877-454-4868
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Fax | 877-321-2298
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Provider Business Mailing Address
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Address Line | 17402 CHATSWORTH STREET ST 201
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City | GRANADA HILLS
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State | CA
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Zip | 91344-7619
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Country | US
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Telephone | 877-454-4868
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Fax | 877-321-2298
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. RANDA BALLOUT
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Credential |
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Telephone | 877-454-4868
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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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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | CA150503
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License Number State | CA
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