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General NPI Number Information
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NPI Number | 1861139222
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Entity Type | Organization
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Legal Business Name | NOVA HOME CARE AGENCY LLC
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Dates
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Enumeration Date | 05/17/2022
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Last Update Date | 05/17/2022
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Provider Practice Location Address
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Address Line | 1242 N 1ST ST UNIT 14
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City | EL CAJON
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State | CA
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Zip | 92021-4853
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Country | US
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Telephone | 619-519-2721
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Fax |
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Provider Business Mailing Address
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Address Line | 1242 N 1ST ST UNIT 14
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City | EL CAJON
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State | CA
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Zip | 92021-4853
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Country | US
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Telephone | 619-519-2721
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Fax |
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Authorized Official
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Title or Position | OWNER / PRES / TREASURER/ ADMIN
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Name | MARIA SAGAPOLUTELE
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Credential |
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Telephone | 619-519-2721
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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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