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General NPI Number Information
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NPI Number | 1912528449
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Entity Type | Organization
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Legal Business Name | FAITH HOME HEALTH, INC.
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Dates
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Enumeration Date | 05/06/2020
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Last Update Date | 05/06/2020
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Provider Practice Location Address
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Address Line | 1524 GRAVES AVE STE D
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City | EL CAJON
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State | CA
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Zip | 92021-2991
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Country | US
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Telephone | 619-345-4198
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Fax | 619-605-0010
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Provider Business Mailing Address
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Address Line | 1524 GRAVES AVE STE D
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City | EL CAJON
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State | CA
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Zip | 92021-2991
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Country | US
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Telephone | 619-345-4198
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Fax | 619-605-0010
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Authorized Official
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Title or Position | ADMINISTRATOR/CEO
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Name | AURORA G. BOONJINDASUP
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Credential | RN, MSN
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Telephone | 619-345-4198
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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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