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General NPI Number Information
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NPI Number | 1720670086
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Entity Type | Organization
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Legal Business Name | AGAPE HEALTH INC
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Dates
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Enumeration Date | 02/08/2021
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Last Update Date | 06/28/2021
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Provider Practice Location Address
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Address Line | 2667 N MOORPARK RD STE 209
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-3001
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Country | US
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Telephone | 805-409-8529
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Fax | 805-547-2121
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Provider Business Mailing Address
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Address Line | 6350 LAUREL CANYON BLVD STE 209
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-3200
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Country | US
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Telephone | 805-409-8529
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARIA MACAHIA
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Credential |
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Telephone | 805-409-8529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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