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General NPI Number Information
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NPI Number | 1013309244
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Entity Type | Organization
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Legal Business Name | ANGEL LOVE HOSPICE SERVICES LLC
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Dates
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Enumeration Date | 02/25/2015
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Last Update Date | 02/25/2015
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Provider Practice Location Address
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Address Line | 4705 N SONORA AVE STE 107A
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City | FRESNO
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State | CA
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Zip | 93722-3947
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Country | US
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Telephone | 559-301-8202
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Fax |
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Provider Business Mailing Address
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Address Line | 4705 N SONORA AVE STE 107A
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City | FRESNO
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State | CA
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Zip | 93722-3947
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Country | US
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Telephone | 559-301-8202
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARMINE KHACHATRYAN
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Credential |
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Telephone | 559-301-8202
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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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