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General NPI Number Information
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NPI Number | 1649668823
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Entity Type | Organization
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Legal Business Name | OMNICARE HEALTH SERVICES
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Dates
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Enumeration Date | 12/22/2014
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Last Update Date | 12/22/2014
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Provider Practice Location Address
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Address Line | 44116 10TH ST W STE 111
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City | LANCASTER
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State | CA
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Zip | 93534-4237
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Country | US
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Telephone | 661-940-3051
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Fax |
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Provider Business Mailing Address
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Address Line | 5318 WINDCREST CT
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City | PALMDALE
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State | CA
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Zip | 93551-1158
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Country | US
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Telephone | 661-992-6161
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE
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Name | MR. SHAMINDER SINGH BRAR
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Credential |
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Telephone | 661-992-6161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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