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General NPI Number Information
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NPI Number | 1861776643
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Entity Type | Organization
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Legal Business Name | DESERT VALLEY HOMECARE, INC.
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Dates
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Enumeration Date | 09/28/2011
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Last Update Date | 09/28/2011
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Provider Practice Location Address
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Address Line | 1091 N PALM CANYON DR
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City | PALM SPRINGS
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State | CA
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Zip | 92262-4419
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Country | US
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Telephone | 760-325-9154
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Fax | 800-436-6566
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Provider Business Mailing Address
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Address Line | 1091 N PALM CANYON DR
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City | PALM SPRINGS
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State | CA
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Zip | 92262-4419
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Country | US
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Telephone | 760-325-9154
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Fax | 800-436-6566
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Authorized Official
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Title or Position | CEO
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Name | MR. MILES GODA
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Credential |
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Telephone | 206-452-1510
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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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