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General NPI Number Information
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NPI Number | 1003496134
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Entity Type | Organization
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Legal Business Name | SPLENDOR HOSPICE AND PALLIATIVE CARE, LLC
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Dates
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Enumeration Date | 04/13/2021
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Last Update Date | 04/13/2021
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Provider Practice Location Address
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Address Line | 8619 RESEDA BLVD STE 201A
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City | NORTHRIDGE
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State | CA
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Zip | 91324-4044
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Country | US
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Telephone | 818-812-9753
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Fax | 818-301-2541
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Provider Business Mailing Address
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Address Line | 8619 RESEDA BLVD STE 201A
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City | NORTHRIDGE
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State | CA
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Zip | 91324-4044
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Country | US
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Telephone | 818-812-9753
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Fax | 818-301-2541
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Authorized Official
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Title or Position | FNP-C/ DPCS/ADMINISTRATOR
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Name | MRS. EDEN BABARAN DABALUS
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Credential | FNP-C
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Telephone | 818-812-9753
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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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