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General NPI Number Information
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NPI Number | 1801896105
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Entity Type | Organization
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Legal Business Name | INFINITY HOME CARE PROVIDERS, INC,
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Dates
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Enumeration Date | 07/28/2005
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Last Update Date | 04/16/2008
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Provider Practice Location Address
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Address Line | 9300 FLAIR DR SUITE 388
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City | EL MONTE
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State | CA
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Zip | 91731-2802
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Country | US
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Telephone | 626-227-0220
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Fax | 626-227-0226
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Provider Business Mailing Address
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Address Line | 9300 FLAIR DR SUITE 388
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City | EL MONTE
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State | CA
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Zip | 91731-2802
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Country | US
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Telephone | 626-227-0220
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Fax | 626-227-0226
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DELIA L. CASTRO
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Credential | R.N.
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Telephone | 626-227-0220
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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 | 058246
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License Number State | CA
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