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General NPI Number Information
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NPI Number | 1861884652
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Entity Type | Organization
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Legal Business Name | MISSION HOME HEALTH OF MURRIETA, INC.
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Dates
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Enumeration Date | 03/03/2015
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Last Update Date | 03/03/2015
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Provider Practice Location Address
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Address Line | 25220 HANCOCK AVE SUITE 330
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City | MURRIETA
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State | CA
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Zip | 92562-0900
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Country | US
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Telephone | 951-461-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 2385 NORTHSIDE DR SUITE 200
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City | SAN DIEGO
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State | CA
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Zip | 92108-2727
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Country | US
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Telephone | 619-757-2700
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. MARK KIMSEY
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Credential |
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Telephone | 619-757-2700
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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 |
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