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General NPI Number Information
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NPI Number | 1891997466
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Entity Type | Organization
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Legal Business Name | HEALTHNET HOME CARE SERVICES, INC.
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 04/04/2013
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Provider Practice Location Address
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Address Line | 2025 GLENOAKS BLVD., SUITE #203
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City | BURBANK
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State | CA
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Zip | 91504-2809
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Country | US
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Telephone | 818-846-8483
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Fax | 818-846-8486
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Provider Business Mailing Address
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Address Line | 2025 GLENOAKS BLVD., SUITE #203
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City | BURBANK
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State | CA
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Zip | 91504-2809
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Country | US
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Telephone | 818-846-8483
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Fax | 818-846-8486
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. NORMA OKIMOTO
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Credential |
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Telephone | 818-846-8486
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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 | 550000336
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License Number State | CA
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