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General NPI Number Information
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NPI Number | 1902149040
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Entity Type | Organization
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Legal Business Name | INTEGRITY HOME CARE LLC
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Dates
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Enumeration Date | 03/27/2013
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Last Update Date | 10/10/2013
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Provider Practice Location Address
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Address Line | 6012 ODELIA LN
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City | CARMICHAEL
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State | CA
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Zip | 95608-2773
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Country | US
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Telephone | 916-500-8933
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Fax |
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Provider Business Mailing Address
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Address Line | 6012 ODELIA LN
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City | CARMICHAEL
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State | CA
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Zip | 95608-2773
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Country | US
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Telephone | 916-500-8933
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Fax |
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Authorized Official
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Title or Position | OWNER AND ADMINISTRATOR
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Name | NUSHEEN M REYKANDEH
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Credential |
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Telephone | 916-500-8933
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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 | 347005244
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License Number State | CA
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