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General NPI Number Information
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NPI Number | 1992829642
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Entity Type | Organization
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Legal Business Name | SAI HOME CARE
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 12/26/2007
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Provider Practice Location Address
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Address Line | 21010 STODDARD WELLS RD
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City | WALNUT
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State | CA
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Zip | 91789-1371
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Country | US
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Telephone | 626-859-4165
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Fax | 626-962-1266
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Provider Business Mailing Address
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Address Line | 21010 E STODDARD WELLS ROAD
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City | WALNUT
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State | CA
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Zip | 91789-0000
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Country | US
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Telephone | 626-859-4165
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Fax | 626-962-1266
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. HARI S VELKURU
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Credential |
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Telephone | 626-859-4165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 5074600001
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License Number State | CA
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