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General NPI Number Information
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NPI Number | 1871142844
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Entity Type | Organization
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Legal Business Name | LIFESTYLE HOME CARE, LLC
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Dates
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Enumeration Date | 09/11/2019
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Last Update Date | 09/11/2019
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Provider Practice Location Address
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Address Line | 4560 CALIFORNIA AVE STE 110
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City | BAKERSFIELD
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State | CA
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Zip | 93309-1150
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Country | US
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Telephone | 661-479-7270
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Fax | 661-479-7278
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Provider Business Mailing Address
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Address Line | 4560 CALIFORNIA AVE STE 110
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City | BAKERSFIELD
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State | CA
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Zip | 93309-1150
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Country | US
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Telephone | 661-479-7270
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | RICHARD DAO
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Credential |
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Telephone | 661-703-4428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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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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