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NPI 1831706548

NPI 1831706548 : SEVA HOME HEALTH : PORTERVILLE, CA

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General NPI Number Information
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    NPI Number           |    1831706548
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    Entity Type          |    Organization 
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    Legal Business Name  |    SEVA HOME HEALTH 
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Dates
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    Enumeration Date     |    09/26/2020
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    Last Update Date     |    09/27/2020
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Provider Practice Location Address
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    Address Line         |    661 N PROSPECT ST 
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    City                 |    PORTERVILLE
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    State                |    CA
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    Zip                  |    93257-1938
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    Country              |    US
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    Telephone            |    559-853-4585
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    Fax                  |    559-853-4586
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Provider Business Mailing Address
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    Address Line         |    661 N PROSPECT ST 
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    City                 |    PORTERVILLE
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    State                |    CA
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    Zip                  |    93257-1938
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    Country              |    US
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    Telephone            |    559-853-4585
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    Fax                  |    559-853-4586
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     AMTEJ  DHILLON 
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    Credential           |    
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    Telephone            |    510-676-6611
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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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