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General NPI Number Information
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NPI Number | 1831789205
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Entity Type | Organization
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Legal Business Name | SOCAL HOME CARE INC DBA REMEDY CAREGIVERS
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Dates
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Enumeration Date | 01/20/2021
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Last Update Date | 01/20/2021
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Provider Practice Location Address
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Address Line | 9836 WHITE OAK AVE STE 209
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City | NORTHRIDGE
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State | CA
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Zip | 91325-4844
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Country | US
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Telephone | 818-900-0788
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Fax |
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Provider Business Mailing Address
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Address Line | 9836 WHITE OAK AVE STE 209
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City | NORTHRIDGE
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State | CA
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Zip | 91325-4844
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Country | US
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Telephone | 818-900-0788
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Fax |
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Authorized Official
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Title or Position | ALTERNATE ADMINISTRATOR
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Name | STEVE TRDATIAN
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Credential |
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Telephone | 818-636-0866
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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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