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General NPI Number Information
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NPI Number | 1811562812
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Entity Type | Organization
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Legal Business Name | SOVEREIGN HOME HEALTH SERVICES LLC
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Dates
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Enumeration Date | 05/21/2021
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Last Update Date | 05/21/2021
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Provider Practice Location Address
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Address Line | 6230 CANOGA BLVD
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City | WOODLAND HILLS
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State | CA
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Zip | 91367
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Country | US
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Telephone | 424-438-9599
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Fax |
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Provider Business Mailing Address
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Address Line | 21530 CALIFA ST APT 122
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-4967
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Country | US
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Telephone | 323-999-8224
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SOPHIA NEGBENEBOR
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Credential | LVN, BS
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Telephone | 323-688-9786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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