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General NPI Number Information
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NPI Number | 1962223933
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Entity Type | Organization
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Legal Business Name | SECOND CHANCE HOUSE
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Dates
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Enumeration Date | 10/22/2024
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 9720 FLOWER ST APT 214
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City | BELLFLOWER
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State | CA
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Zip | 90706-5879
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Country | US
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Telephone | 562-449-1164
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Fax |
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Provider Business Mailing Address
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Address Line | 9720 FLOWER ST APT 214
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City | BELLFLOWER
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State | CA
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Zip | 90706-5879
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Country | US
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Telephone | 562-449-1164
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JANNAH A RAHMAN
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Credential |
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Telephone | 562-449-1164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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