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General NPI Number Information
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NPI Number | 1669787123
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Entity Type | Organization
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Legal Business Name | I&V HOME HEALTH, INC.
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Dates
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Enumeration Date | 08/09/2010
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Last Update Date | 06/10/2013
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Provider Practice Location Address
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Address Line | 644 W BROADWAY STE 112
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City | GLENDALE
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State | CA
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Zip | 91204-1059
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Country | US
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Telephone | 818-243-3368
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Fax | 818-243-3369
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Provider Business Mailing Address
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Address Line | 644 W BROADWAY STE 112
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City | GLENDALE
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State | CA
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Zip | 91204-1059
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Country | US
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Telephone | 818-243-3368
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Fax | 818-243-3369
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Authorized Official
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Title or Position | CEO
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Name | IZABELLA MEGRABYAN
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Credential |
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Telephone | 818-243-3368
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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 | 550001771
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License Number State | CA
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