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General NPI Number Information
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NPI Number | 1992344873
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Entity Type | Organization
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Legal Business Name | HEALING HOME HEALTH
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Dates
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Enumeration Date | 12/24/2019
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Last Update Date | 03/25/2021
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Provider Practice Location Address
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Address Line | 815 S CENTRAL AVE STE 4
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City | GLENDALE
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State | CA
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Zip | 91204-2073
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Country | US
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Telephone | 818-207-7737
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Fax | 818-241-4242
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Provider Business Mailing Address
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Address Line | 815 S CENTRAL AVE STE 4
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City | GLENDALE
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State | CA
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Zip | 91204-2073
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Country | US
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Telephone | 818-207-7737
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Fax | 818-241-4242
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Authorized Official
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Title or Position | CEO
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Name | EDGAR AYRAPETYAN
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Credential |
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Telephone | 818-207-7737
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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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