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General NPI Number Information
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NPI Number | 1962779694
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Entity Type | Organization
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Legal Business Name | ABIGAIL HEALTHCARE INC.
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Dates
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Enumeration Date | 11/23/2011
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Last Update Date | 11/23/2011
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Provider Practice Location Address
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Address Line | 128 ERTEN ST
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-1809
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Country | US
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Telephone | 805-358-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 4849 BRUGES AVE
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-3902
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Country | US
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Telephone | 805-358-4700
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GBOLABO FOLAYAN
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Credential |
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Telephone | 805-358-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 56581623
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License Number State | CA
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