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General NPI Number Information
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NPI Number | 1861434292
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Entity Type | Organization
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Legal Business Name | LIKE FAMILY HOME NURSING SERVICES, INC.
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 03/05/2008
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Provider Practice Location Address
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Address Line | 430 COLORADO AVE SUITE 401
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City | SANTA MONICA
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State | CA
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Zip | 90401-2383
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Country | US
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Telephone | 310-395-4788
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Fax | 310-395-0150
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Provider Business Mailing Address
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Address Line | 430 COLORADO AVE SUITE 401
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City | SANTA MONICA
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State | CA
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Zip | 90401-2383
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Country | US
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Telephone | 310-395-4788
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Fax | 310-395-0150
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Authorized Official
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Title or Position | CEO
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Name | JOHN TRICKETT
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Credential |
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Telephone | 310-395-4788
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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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