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General NPI Number Information
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NPI Number | 1750783460
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Entity Type | Organization
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Legal Business Name | CHOICE RESPICARE, INC.
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Dates
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Enumeration Date | 09/24/2014
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Last Update Date | 09/24/2014
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Provider Practice Location Address
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Address Line | 16714 PARTHENIA ST
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City | NORTHRIDGE
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State | CA
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Zip | 91343-4609
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Country | US
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Telephone | 818-891-2273
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Fax | 323-654-2104
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Provider Business Mailing Address
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Address Line | 16714 PARTHENIA ST
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City | NORTHRIDGE
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State | CA
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Zip | 91343-4609
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Country | US
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Telephone | 818-891-2273
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Fax | 323-654-2104
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Authorized Official
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Title or Position | CFO
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Name | MRS. TATYANA DEKADOKH
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Credential |
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Telephone | 818-891-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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