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General NPI Number Information
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NPI Number | 1720808090
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Entity Type | Organization
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Legal Business Name | FULL CARE HOMEHEALTH, INC
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Dates
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Enumeration Date | 10/11/2024
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 223 E THOUSAND OAKS BLVD SUITE 320 - 2
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City | THOUSAND OAKS
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State | CA
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Zip | 91360
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Country | US
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Telephone | 805-371-9072
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Fax | 805-371-9074
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Provider Business Mailing Address
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Address Line | 223 E THOUSAND OAKS BLVD SUITE 320 - 2
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City | THOUSAND OAKS
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State | CA
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Zip | 91360
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Country | US
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Telephone | 805-371-9072
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Fax | 805-371-9074
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Authorized Official
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Title or Position | ADMINISTRATOR DESIGNEE
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Name | CONNIE ROUSH
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Credential |
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Telephone | 805-371-9072
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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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