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General NPI Number Information
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NPI Number | 1821076332
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Entity Type | Organization
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Legal Business Name | AIM HOME CARE INC WEST LA
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Dates
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Enumeration Date | 01/04/2006
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Last Update Date | 03/04/2008
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Provider Practice Location Address
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Address Line | 5435 BALBOA BLVD STE 105
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City | ENCINO
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State | CA
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Zip | 91316-1587
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Country | US
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Telephone | 818-345-0545
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Fax | 818-386-2451
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Provider Business Mailing Address
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Address Line | 5435 BALBOA BLVD STE 105
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City | ENCINO
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State | CA
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Zip | 91316-1587
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Country | US
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Telephone | 818-345-0545
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Fax | 818-386-2451
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Authorized Official
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Title or Position | OWNER CEO PRESIDENT DIR OF NURSING
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Name | MS. NATALYA TSIKANOVSKY
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Credential | RN
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Telephone | 818-345-0545
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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 | CA
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