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General NPI Number Information
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NPI Number | 1760612238
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Entity Type | Organization
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Legal Business Name | BRIDGING THE GAP HOME HEALTH SERVICES
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Dates
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Enumeration Date | 07/20/2009
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Last Update Date | 07/20/2009
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Provider Practice Location Address
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Address Line | 7117 ALVERN ST E318
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City | LOS ANGELES
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State | CA
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Zip | 90045-1823
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Country | US
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Telephone | 323-815-3476
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Fax |
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Provider Business Mailing Address
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Address Line | 7117 ALVERN ST E318
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City | LOS ANGELES
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State | CA
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Zip | 90045-1823
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Country | US
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Telephone | 323-815-3476
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. YOLANDER MICHELLE CURRY
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Credential | RN
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Telephone | 310-670-0293
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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 | 657696
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License Number State | CA
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Taxonomy #2
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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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