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General NPI Number Information
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NPI Number | 1871900670
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Entity Type | Organization
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Legal Business Name | MIRIANA CARE LLC
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Dates
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Enumeration Date | 07/14/2014
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Last Update Date | 07/14/2014
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Provider Practice Location Address
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Address Line | 5805 SEPULVEDA BLVD SUITE 605
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City | SHERMAN OAKS
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State | CA
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Zip | 91411-2546
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Country | US
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Telephone | 818-636-7773
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Fax |
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Provider Business Mailing Address
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Address Line | 5537 BLUEBELL AVE
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City | VALLEY VILLAGE
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State | CA
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Zip | 91607-1909
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MIRIAM ISTRIN
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Credential |
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Telephone | 818-636-7773
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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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