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General NPI Number Information
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NPI Number | 1700609179
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Entity Type | Organization
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Legal Business Name | KANAMEE HOME HEALTHCARE SERVICES
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 2049 PACIFIC COAST HWY STE 206
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City | LOMITA
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State | CA
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Zip | 90717-2662
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Country | US
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Telephone | 661-965-1234
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Fax |
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Provider Business Mailing Address
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Address Line | 2049 PACIFIC COAST HWY STE 206
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City | LOMITA
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State | CA
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Zip | 90717-2662
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Country | US
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Telephone | 661-965-1234
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Fax |
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Authorized Official
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Title or Position | CEO/CFO
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Name | KATRINA MARIE ARCEO-YAP
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Credential | MSN RN BC
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Telephone | 661-965-1234
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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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