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General NPI Number Information
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NPI Number | 1710537865
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Entity Type | Organization
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Legal Business Name | SAMRA EMPIRE, LLC
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Dates
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Enumeration Date | 09/19/2019
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Last Update Date | 12/09/2019
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Provider Practice Location Address
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Address Line | 4900 CALIFORNIA AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93309-7024
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Country | US
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Telephone | 661-205-5473
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Fax |
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Provider Business Mailing Address
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Address Line | 5102 SILVERY JEWEL LN
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City | BAKERSFIELD
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State | CA
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Zip | 93313-5831
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Country | US
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Telephone | 661-910-8895
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVINDER SAMRA
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Credential |
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Telephone | 661-910-8895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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