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General NPI Number Information
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NPI Number | 1972681195
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Entity Type | Organization
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Legal Business Name | AGELESS HOME HEALTH CARE
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10 DE SABLA RD UNIT 1101
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City | SAN MATEO
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State | CA
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Zip | 94402-1273
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Country | US
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Telephone | 650-921-1554
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Fax | 800-571-1474
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Provider Business Mailing Address
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Address Line | PO BOX 1365
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City | SAN MATEO
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State | CA
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Zip | 94401-0847
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Country | US
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Telephone | 650-921-1554
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Fax | 800-571-1474
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Authorized Official
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Title or Position | OWNER/CASE MANAGER
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Name | MISS FENG ZHAN LI
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Credential |
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Telephone | 650-921-1554
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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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