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General NPI Number Information
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NPI Number | 1740408947
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Entity Type | Organization
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Legal Business Name | GOOD SPIRIT HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 08/13/2019
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Provider Practice Location Address
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Address Line | 4454 VAN NUYS BLVD STE D
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-5750
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Country | US
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Telephone | 818-465-3727
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Fax | 818-468-3808
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Provider Business Mailing Address
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Address Line | 4454 VAN NUYS BLVD STE D
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-5750
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Country | US
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Telephone | 818-465-3727
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | PAULET ABEDI
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Credential |
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Telephone | 818-244-8700
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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 | 550000522
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License Number State | CA
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