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General NPI Number Information
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NPI Number | 1598763468
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Entity Type | Organization
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Legal Business Name | MLH HEALTH CARE INC
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 01/28/2014
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Provider Practice Location Address
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Address Line | 127 N MADISON AVE SUITE 215
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City | PASADENA
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State | CA
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Zip | 91101-1712
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Country | US
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Telephone | 626-457-1874
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Fax | 626-457-5238
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Provider Business Mailing Address
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Address Line | 127 N MADISON AVE SUITE 215
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City | PASADENA
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State | CA
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Zip | 91101-1712
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Country | US
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Telephone | 626-457-1874
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Fax | 626-457-5238
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. ENMA PUNO
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Credential |
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Telephone | 626-457-1874
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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 | 980000897
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License Number State | CA
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