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General NPI Number Information
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NPI Number | 1982271490
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Entity Type | Organization
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Legal Business Name | WHITE STAR HOME HEALTH, INC.
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Dates
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Enumeration Date | 06/04/2021
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Last Update Date | 06/04/2021
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Provider Practice Location Address
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Address Line | 4444 W RIVERSIDE DR STE 204A
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City | BURBANK
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State | CA
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Zip | 91505-4048
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Country | US
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Telephone | 747-477-3471
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Fax | 747-477-3522
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Provider Business Mailing Address
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Address Line | 4444 W RIVERSIDE DR STE 204A
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City | BURBANK
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State | CA
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Zip | 91505-4048
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Country | US
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Telephone | 747-477-3471
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Fax | 747-477-3522
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Authorized Official
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Title or Position | CEO
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Name | ILUSH SHAKHBAZYAN
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Credential |
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Telephone | 747-477-3471
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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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