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General NPI Number Information
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NPI Number | 1700958261
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Entity Type | Organization
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Legal Business Name | SHEPHERD HOME HEALTH CARE INC
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 02/10/2009
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Provider Practice Location Address
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Address Line | 5455 WILSHIRE BLVD STE 705
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City | LOS ANGELES
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State | CA
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Zip | 90036-4234
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Country | US
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Telephone | 323-932-8851
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Fax | 323-932-8983
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Provider Business Mailing Address
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Address Line | 5455 WILSHIRE BLVD STE 705
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City | LOS ANGELES
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State | CA
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Zip | 90036-4234
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Country | US
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Telephone | 323-932-8851
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Fax | 323-932-8983
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Authorized Official
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Title or Position | PERSIDENT
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Name | MS. ODETTE R NAYROUZ
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Credential | CEO
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Telephone | 323-932-8851
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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 | 26773218
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License Number State | CA
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