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General NPI Number Information
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NPI Number | 1982940094
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Entity Type | Organization
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Legal Business Name | LITTLE HELPER HOMECARE
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Dates
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Enumeration Date | 12/17/2012
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Last Update Date | 02/04/2013
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Provider Practice Location Address
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Address Line | 27180 NEWPORT RD
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City | MENIFEE
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State | CA
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Zip | 92584-7385
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Country | US
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Telephone | 888-536-1116
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 235
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City | WILDOMAR
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State | CA
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Zip | 92595-0235
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER/ NURSE DIRECTOR
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Name | MRS. NIQUITA NIKKOLE CLUGSTON
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Credential |
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Telephone | 888-536-1116
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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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