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General NPI Number Information
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NPI Number | 1669750816
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Entity Type | Organization
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Legal Business Name | COMMUNY CARE AT HOME
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Dates
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Enumeration Date | 07/21/2011
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Last Update Date | 07/21/2011
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Provider Practice Location Address
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Address Line | 1623 S. LA CIENEGA BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90272
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Country | US
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Telephone | 310-246-1918
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Fax | 310-248-2723
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Provider Business Mailing Address
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Address Line | 1623 S. LA CIENEGA BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90272
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Country | US
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Telephone | 310-246-1918
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Fax | 310-248-2723
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. DEBORAH LEVEY
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Credential |
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Telephone | 310-246-1918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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