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General NPI Number Information
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NPI Number | 1679840771
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Entity Type | Organization
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Legal Business Name | HEBREWS HOME HEALTHCARE INC
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Dates
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Enumeration Date | 11/18/2011
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Last Update Date | 11/18/2011
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Provider Practice Location Address
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Address Line | 21407 MARTIN STREET
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City | CARSON
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State | CA
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Zip | 90745-1726
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Country | US
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Telephone | 323-595-7401
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Fax | 323-750-3346
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Provider Business Mailing Address
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Address Line | 8816 S WESTERN AVE
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City | LOS ANGELES
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State | CA
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Zip | 90047-3328
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Country | US
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Telephone | 323-595-7401
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Fax | 323-750-3346
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KALYAN OYEYEMI
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Credential | RN
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Telephone | 323-595-7401
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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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