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General NPI Number Information
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NPI Number | 1689658049
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Entity Type | Organization
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Legal Business Name | CAREMAX HOME HEALTH SERVICES INC
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 08/04/2008
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Provider Practice Location Address
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Address Line | 8953 WOODMAN AVE # 102
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City | ARLETA
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State | CA
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Zip | 91331-6457
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Country | US
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Telephone | 818-920-9255
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Fax | 818-920-3190
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Provider Business Mailing Address
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Address Line | 8953 WOODMAN AVE # 102
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City | ARLETA
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State | CA
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Zip | 91331-6491
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Country | US
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Telephone | 818-920-9255
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Fax | 818-920-3190
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. NIMFA SIMBULAN
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Credential | RN
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Telephone | 818-920-9255
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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 | 980001038
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License Number State | CA
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