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General NPI Number Information
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NPI Number | 1639627433
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Entity Type | Organization
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Legal Business Name | UNITED HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 09/21/2016
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Last Update Date | 08/06/2021
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Provider Practice Location Address
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Address Line | 1717 30TH ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-1909
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Country | US
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Telephone | 661-493-0373
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Fax | 661-493-0377
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Provider Business Mailing Address
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Address Line | 1717 30TH ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-1909
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Country | US
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Telephone | 661-493-0373
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Fax | 661-493-0377
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARI GRIGORYAN
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Credential | RN, BSN, PHN
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Telephone | 661-493-0373
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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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