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General NPI Number Information
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NPI Number | 1811076870
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Entity Type | Organization
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Legal Business Name | DYNAMIC HOME CARE SERVICES INC.
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 03/24/2008
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Provider Practice Location Address
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Address Line | 14260 VENTURA BLVD SUITE 301
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-2734
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Country | US
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Telephone | 818-981-4446
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Fax | 818-981-0677
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Provider Business Mailing Address
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Address Line | 14260 VENTURA BLVD SUITE 301
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-2734
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Country | US
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Telephone | 818-981-4446
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Fax | 818-981-0677
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Authorized Official
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Title or Position | CEO/CFO
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Name | DR. NISSAN PARDO
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Credential | PH.D.
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Telephone | 818-981-4446
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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 | 980000668
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License Number State | CA
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