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General NPI Number Information
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NPI Number | 1992799928
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Entity Type | Organization
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Legal Business Name | ANNEX HEALTHCARE PROVIDERS INC
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Dates
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Enumeration Date | 09/06/2005
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 22041 CLARENDON ST STE 200
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-6147
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Country | US
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Telephone | 818-884-8070
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Fax | 818-484-3661
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Provider Business Mailing Address
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Address Line | 22041 CLARENDON ST STE 200
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-6147
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Country | US
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Telephone | 818-884-8070
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Fax | 818-484-3661
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | FELOR BAHADORI
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Credential | RN
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Telephone | 818-509-2661
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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 | 980001397
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License Number State | CA
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