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General NPI Number Information
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NPI Number | 1669047569
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Entity Type | Organization
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Legal Business Name | GREEN LINE HOME CARE INC
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Dates
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Enumeration Date | 05/24/2021
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Last Update Date | 01/26/2022
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Provider Practice Location Address
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Address Line | 811 WILSHIRE BLVD STE 1763
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City | LOS ANGELES
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State | CA
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Zip | 90017-2606
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Country | US
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Telephone | 213-465-2644
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Fax | 213-855-0510
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Provider Business Mailing Address
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Address Line | 811 WILSHIRE BLVD STE 1763
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City | LOS ANGELES
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State | CA
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Zip | 90017-2606
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Country | US
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Telephone | 213-465-2644
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Fax | 213-855-0510
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Authorized Official
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Title or Position | CEO
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Name | HAYKUHI GASPARYAN
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Credential |
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Telephone | 213-465-2644
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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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