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General NPI Number Information
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NPI Number | 1710696901
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Entity Type | Organization
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Legal Business Name | MEDICAL EXPERTS HOME HEALTH LLC
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Dates
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Enumeration Date | 11/16/2022
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Last Update Date | 11/16/2022
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Provider Practice Location Address
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Address Line | 12409 WILLOW FOREST DR
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City | MOORPARK
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State | CA
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Zip | 93021-2763
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Country | US
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Telephone | 805-433-5260
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Fax |
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Provider Business Mailing Address
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Address Line | 12409 WILLOW FOREST DR
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City | MOORPARK
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State | CA
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Zip | 93021-2763
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Country | US
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Telephone | 805-433-5260
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Fax |
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Authorized Official
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Title or Position | OWNER OPERATOR
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Name | MR. BOBBY JEFFERY HALL
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Credential | MSW
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Telephone | 805-433-5260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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