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NPI 1811510548

NPI 1811510548 : NCM CARE HOME HEALTH : BURBANK, CA

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General NPI Number Information
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    NPI Number           |    1811510548
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    Entity Type          |    Organization 
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    Legal Business Name  |    NCM CARE HOME HEALTH 
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Dates
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    Enumeration Date     |    05/28/2020
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    Last Update Date     |    05/28/2020
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Provider Practice Location Address
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    Address Line         |    303 N GLENOAKS BLVD STE 225 
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    City                 |    BURBANK
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    State                |    CA
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    Zip                  |    91502-1116
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    Country              |    US
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    Telephone            |    323-314-7344
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    Fax                  |    323-978-5172
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Provider Business Mailing Address
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    Address Line         |    8156 REDBUSH LN 
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    City                 |    PANORAMA CITY
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    State                |    CA
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    Zip                  |    91402-5316
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    Country              |    US
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    Telephone            |    323-314-7344
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    Fax                  |    323-978-5172
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Authorized Official
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    Title or Position    |    CEO/PRESIDENT
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    Name                 |     CHRISTINA  NAZARETYAN 
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    Credential           |    
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    Telephone            |    323-314-7344
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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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