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General NPI Number Information
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NPI Number | 1649465402
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Entity Type | Organization
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Legal Business Name | AFFINITY HEALTH CARE PROVIDERS, INC
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 12/29/2010
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Provider Practice Location Address
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Address Line | 1551 COLORADO BLVD STE. 203
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City | LOS ANGELES
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State | CA
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Zip | 90041-1400
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Country | US
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Telephone | 323-259-9821
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Fax | 323-259-9960
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Provider Business Mailing Address
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Address Line | 1551 COLORADO BLVD STE. 203
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City | LOS ANGELES
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State | CA
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Zip | 90041-1400
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Country | US
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Telephone | 323-259-9821
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Fax | 323-259-9960
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MS. ERNA F FARIN
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Credential | N/A
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Telephone | 323-259-9821
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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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