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General NPI Number Information
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NPI Number | 1851098271
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Entity Type | Organization
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Legal Business Name | MEN'S HANDY CARE HOME ASSISTANT GROUP LLC.
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Dates
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Enumeration Date | 02/15/2023
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Last Update Date | 02/15/2023
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Provider Practice Location Address
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Address Line | 18717 CORBY AVE # 1/2 1/2
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City | ARTESIA
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State | CA
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Zip | 90701-5623
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Country | US
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Telephone | 323-817-5257
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Fax |
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Provider Business Mailing Address
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Address Line | 18717 CORBY AVE
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City | ARTESIA
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State | CA
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Zip | 90701-5623
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Country | US
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Telephone | 323-817-5257
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Fax |
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Authorized Official
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Title or Position | NATIONAL CARE PROVIDER
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Name | MR. ALFONSO LAVAL BALLARD
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Credential |
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Telephone | 805-401-4853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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