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General NPI Number Information
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NPI Number | 1962462077
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Entity Type | Organization
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Legal Business Name | MAJESTY HOME HEALTH, INC.
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 07/12/2012
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Provider Practice Location Address
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Address Line | 18527 ROSCOE BLVD
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City | NORTHRIDGE
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State | CA
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Zip | 91324-4632
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Country | US
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Telephone | 818-775-9447
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Fax |
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Provider Business Mailing Address
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Address Line | 18527 ROSCOE BLVD
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City | NORTHRIDGE
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State | CA
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Zip | 91324-4632
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Country | US
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Telephone | 818-775-9447
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Fax | 818-774-9448
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Authorized Official
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Title or Position | PRESIDENT
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Name | AURELIA BANEZ AZANA
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Credential | REGISTERED NURSE
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Telephone | 818-775-9447
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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 | 980001388
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License Number State | CA
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