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General NPI Number Information
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NPI Number | 1760705503
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Entity Type | Organization
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Legal Business Name | OPTIMAL HOME HEALTH SERVICES LLC
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Dates
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Enumeration Date | 03/08/2010
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Last Update Date | 03/08/2010
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Provider Practice Location Address
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Address Line | 30111 TECHNOLOGY DR SUITE 110
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City | MURRIETA
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State | CA
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Zip | 92563-2655
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Country | US
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Telephone | 951-691-5001
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Fax | 951-691-5003
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Provider Business Mailing Address
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Address Line | 30111 TECHNOLOGY DR SUITE 110
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City | MURRIETA
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State | CA
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Zip | 92563-2655
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Country | US
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Telephone | 951-691-5001
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Fax | 951-691-5003
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. KELLY SMITH
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Credential | LVN
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Telephone | 951-796-4207
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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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