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General NPI Number Information
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NPI Number | 1689360596
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Entity Type | Organization
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Legal Business Name | OUR ASSURANCE TOO HOMEHEALTH INC
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Dates
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Enumeration Date | 04/13/2023
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Last Update Date | 04/13/2023
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Provider Practice Location Address
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Address Line | 30700 RUSSELL RANCH RD STE 256
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-9500
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Country | US
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Telephone | 213-434-1874
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Fax |
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Provider Business Mailing Address
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Address Line | 30700 RUSSELL RANCH RD STE 250
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-9507
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO/ADMINISTRATOR/DPCS
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Name | EVET BERRY
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Credential | RN
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Telephone | 213-434-1874
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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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