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General NPI Number Information
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NPI Number | 1801944012
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Entity Type | Organization
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Legal Business Name | EDENS HOME HEALTH SERVICES
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Dates
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Enumeration Date | 01/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8753 MONOGRAM AVE
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City | NORTH HILLS
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State | CA
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Zip | 91343-4617
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Country | US
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Telephone | 760-845-9633
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Fax |
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Provider Business Mailing Address
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Address Line | 8753 MONOGRAM AVE
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City | NORTH HILLS
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State | CA
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Zip | 91343-4617
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Country | US
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Telephone | 760-845-9633
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Fax |
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Authorized Official
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Title or Position | PROPRIETOR
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Name | MRS. EDEN C AGUILA
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Credential | LVN
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Telephone | 760-845-9633
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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 | APPLIED FOR
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License Number State | CA
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