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General NPI Number Information
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NPI Number | 1790912871
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Entity Type | Organization
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Legal Business Name | SIGNATURE HOME HEALTH CARE INC
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Dates
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Enumeration Date | 06/16/2009
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Last Update Date | 10/25/2022
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Provider Practice Location Address
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Address Line | 9595 WILSHIRE BLVD STE 205
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-2502
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Country | US
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Telephone | 310-278-0104
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Fax | 310-278-0107
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Provider Business Mailing Address
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Address Line | 9025 WILSHIRE BLVD STE 205
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-1825
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Country | US
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Telephone | 310-278-0104
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Fax | 310-278-0107
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS FAINA NEVELEVA
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Credential |
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Telephone | 310-278-0102
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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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