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General NPI Number Information
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NPI Number | 1922195296
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Entity Type | Organization
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Legal Business Name | ORANGE COUNTY CARE PROVIDERS,INC.
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 08/05/2008
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Provider Practice Location Address
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Address Line | 14700 E FIRESTONE BLVD STE 128
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City | LA MIRADA
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State | CA
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Zip | 90638
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Country | US
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Telephone | 714-994-5210
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Fax | 714-994-5213
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Provider Business Mailing Address
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Address Line | 14700 E FIRESTONE BLVD STE 128
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City | LA MIRADA
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State | CA
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Zip | 90638
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Country | US
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Telephone | 714-994-5210
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Fax | 714-994-5213
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MRS. NASSRIEN OMMI
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Credential | LVN
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Telephone | 714-994-5210
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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 | 980001625
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License Number State | CA
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