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General NPI Number Information
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NPI Number | 1750781472
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Entity Type | Organization
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Legal Business Name | WICARE LLC
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Dates
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Enumeration Date | 08/29/2014
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 7050 OWENSMOUTH AVE STE 211
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City | CANOGA PARK
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State | CA
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Zip | 91303-4207
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Country | US
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Telephone | 805-578-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 7050 OWENSMOUTH AVE STE 211
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City | CANOGA PARK
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State | CA
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Zip | 91303-4207
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Country | US
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Telephone | 805-578-2273
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | ROSEMARIE BARTOLATA
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Credential | RN
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Telephone | 805-578-2273
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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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