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General NPI Number Information
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NPI Number | 1730662834
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Entity Type | Organization
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Legal Business Name | DNA HOME HEALTH SERVICES,INC.
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Dates
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Enumeration Date | 09/13/2018
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Last Update Date | 11/22/2021
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Provider Practice Location Address
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Address Line | 18425 BURBANK BLVD STE 417
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City | TARZANA
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State | CA
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Zip | 91356-2806
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Country | US
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Telephone | 818-938-9143
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Fax | 818-938-9179
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Provider Business Mailing Address
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Address Line | 18425 BURBANK BLVD STE 417
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City | TARZANA
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State | CA
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Zip | 91356-2806
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Country | US
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Telephone | 818-938-9143
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Fax | 818-938-9179
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Authorized Official
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Title or Position | SECRETARY
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Name | DAVID MARTIROSYAN
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Credential | REGISTERED NURSE
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Telephone | 818-938-9143
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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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