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General NPI Number Information
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NPI Number | 1003451477
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Entity Type | Organization
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Legal Business Name | INFINITY HOSPICE AND PALLIATIVE CARE INC.
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Dates
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Enumeration Date | 11/09/2019
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Last Update Date | 10/29/2021
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Provider Practice Location Address
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Address Line | 1700 IOWA AVE STE 250
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City | RIVERSIDE
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State | CA
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Zip | 92507-7407
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Country | US
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Telephone | 951-816-6608
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Fax | 951-365-5772
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Provider Business Mailing Address
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Address Line | 43020 BLACK DEER LOOP STE 104
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City | TEMECULA
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State | CA
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Zip | 92590-3406
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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 | PRESIDENT
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Name | DAVID AARON WITTENBERG
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Credential |
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Telephone | 951-816-6608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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