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General NPI Number Information
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NPI Number | 1932848900
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Entity Type | Organization
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Legal Business Name | WESTSIDE HOME CARE, INC.
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Dates
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Enumeration Date | 05/30/2022
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Last Update Date | 05/30/2022
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Provider Practice Location Address
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Address Line | 292 S LA CIENEGA BLVD STE 300
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3352
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Country | US
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Telephone | 310-409-7309
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Fax |
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Provider Business Mailing Address
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Address Line | 292 S LA CIENEGA BLVD STE 300
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3352
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Country | US
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Telephone | 310-409-7309
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MANE HARUTYUNYAN
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Credential |
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Telephone | 818-807-5640
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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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