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General NPI Number Information
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NPI Number | 1730363987
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Entity Type | Organization
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Legal Business Name | ADVANCED HOME CARE SERVICES
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Dates
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Enumeration Date | 12/24/2007
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Last Update Date | 12/24/2007
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Provider Practice Location Address
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Address Line | 1335 S AZUSA AVE STE 216
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City | WEST COVINA
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State | CA
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Zip | 91792-3966
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Country | US
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Telephone | 626-917-2000
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Fax | 626-917-2000
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Provider Business Mailing Address
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Address Line | 1335 S AZUSA AVE STE 216
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City | WEST COVINA
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State | CA
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Zip | 91792-3966
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Country | US
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Telephone | 626-917-2000
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Fax | 626-917-2000
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. LAGRIMAS HARO
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Credential | RN
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Telephone | 626-233-8291
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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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