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General NPI Number Information
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NPI Number | 1740734318
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Entity Type | Organization
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Legal Business Name | HOME HELPERS AND DIRECT LINK #58851
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Dates
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Enumeration Date | 08/11/2016
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Last Update Date | 08/11/2016
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Provider Practice Location Address
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Address Line | 97 S 2ND ST STE 100
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City | SAN JOSE
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State | CA
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Zip | 95113-2512
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Country | US
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Telephone | 408-610-4155
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Fax |
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Provider Business Mailing Address
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Address Line | 1424 KALMIA ST
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City | SAN MATEO
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State | CA
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Zip | 94402-3037
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Country | US
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Telephone | 408-610-4155
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Fax | 408-610-3390
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Authorized Official
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Title or Position | OWNER/CEO
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Name | CHRISTOPHER CHIN
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Credential | J.D.
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Telephone | 408-610-4155
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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 | 414700089
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License Number State | CA
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