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General NPI Number Information
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NPI Number | 1730397944
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Entity Type | Organization
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Legal Business Name | DANIEL'S HOME CARE
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Dates
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Enumeration Date | 05/19/2007
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Last Update Date | 06/28/2025
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Provider Practice Location Address
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Address Line | 1309 W 159TH ST
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City | GARDENA
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State | CA
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Zip | 90247-4323
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Country | US
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Telephone | 310-217-0437
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Fax | 424-378-6334
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Provider Business Mailing Address
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Address Line | 1309 W 159TH ST
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City | GARDENA
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State | CA
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Zip | 90247-4323
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Country | US
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Telephone | 310-217-0437
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Fax | 424-378-6334
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Authorized Official
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Title or Position | LICENSEE
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Name | MRS. JOSEFINA DURAN
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Credential |
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Telephone | 310-951-8034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | 960000990
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License Number State | CA
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