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General NPI Number Information
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NPI Number | 1003499963
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Entity Type | Organization
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Legal Business Name | AMAZING CARE HOSPICE
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Dates
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Enumeration Date | 04/29/2021
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Last Update Date | 04/29/2021
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Provider Practice Location Address
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Address Line | 1000 PASEO CAMARILLO STE 126
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City | CAMARILLO
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State | CA
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Zip | 93010-0755
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Country | US
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Telephone | 805-482-5055
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Fax | 805-482-5030
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Provider Business Mailing Address
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Address Line | 1000 PASEO CAMARILLO STE 126
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City | CAMARILLO
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State | CA
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Zip | 93010-0755
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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 | CEO
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Name | NOGOL PEDRAM
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Credential |
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Telephone | 559-326-8395
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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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