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General NPI Number Information
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NPI Number | 1760065726
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Entity Type | Organization
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Legal Business Name | FAITH HOME HEALTHCARE INC
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Dates
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Enumeration Date | 04/28/2021
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Last Update Date | 04/28/2021
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Provider Practice Location Address
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Address Line | 7281 DUMOSA AVE STE 7
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City | YUCCA VALLEY
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State | CA
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Zip | 92284-3782
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Country | US
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Telephone | 760-974-7018
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Fax | 760-800-1131
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Provider Business Mailing Address
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Address Line | 71510 SUN VALLEY DR
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City | TWENTYNINE PALMS
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State | CA
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Zip | 92277-4085
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Country | US
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Telephone | 760-974-7018
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Fax | 760-800-1131
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Authorized Official
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Title or Position | OWNER
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Name | PATIENCE POPE
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Credential |
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Telephone | 760-905-9560
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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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