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General NPI Number Information
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NPI Number | 1023417953
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Entity Type | Organization
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Legal Business Name | LA VIE HOSPICE & HOME HEALTH INC.
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Dates
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Enumeration Date | 08/15/2014
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Last Update Date | 01/06/2022
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Provider Practice Location Address
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Address Line | 46560 FREMONT BLVD STE 115
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City | FREMONT
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State | CA
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Zip | 94538-6484
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Country | US
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Telephone | 510-573-3866
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Fax | 510-372-0595
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Provider Business Mailing Address
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Address Line | 46560 FREMONT BLVD STE 115
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City | FREMONT
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State | CA
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Zip | 94538-6484
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Country | US
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Telephone | 510-573-3866
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Fax | 510-372-0595
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL CRIS LANDINGIN
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Credential |
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Telephone | 510-573-3866
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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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