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General NPI Number Information
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NPI Number | 1700190246
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Entity Type | Organization
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Legal Business Name | CAREMETRIX HOME HEALTH LLC
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Dates
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Enumeration Date | 07/26/2010
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Last Update Date | 05/24/2011
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Provider Practice Location Address
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Address Line | 22024 LASSEN STREET SUITE 100
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City | CHATSWORTH
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State | CA
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Zip | 91311-3600
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Country | US
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Telephone | 818-812-9693
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Fax | 818-812-9698
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Provider Business Mailing Address
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Address Line | 22024 LASSEN STREET SUITE 100
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City | CHATSWORTH
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State | CA
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Zip | 91311-3600
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Country | US
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Telephone | 818-812-9693
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Fax | 818-812-9698
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Authorized Official
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Title or Position | PRESIDENT/CEO, ADMINISTRATOR
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Name | MS. KIMBERLY JOAN O'BRIEN
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Credential | P.T.
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Telephone | 818-812-9693
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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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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 550001516
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License Number State | CA
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