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General NPI Number Information
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NPI Number | 1760928535
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Entity Type | Organization
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Legal Business Name | INHERITANCE HOME CARE LLC
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Dates
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Enumeration Date | 01/17/2017
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Last Update Date | 01/17/2017
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Provider Practice Location Address
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Address Line | 2566 CATAMARAN WAY # 5
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City | CHULA VISTA
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State | CA
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Zip | 91914-4533
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Country | US
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Telephone | 619-207-5760
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Fax |
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Provider Business Mailing Address
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Address Line | 2127 OLYMPIC PKWY # 1006-164
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City | CHULA VISTA
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State | CA
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Zip | 91915-1359
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Country | US
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Telephone | 619-207-5760
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | PRISCILA ANDERSON
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Credential |
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Telephone | 619-207-5760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 374700121
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License Number State | CA
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