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General NPI Number Information
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NPI Number | 1023625035
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Entity Type | Organization
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Legal Business Name | K AND S HOSPICE INC
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Dates
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Enumeration Date | 09/24/2020
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Last Update Date | 09/24/2020
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Provider Practice Location Address
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Address Line | 4100 W ALAMEDA AVE FL 3
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City | BURBANK
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State | CA
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Zip | 91505
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Country | US
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Telephone | 818-304-7277
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Fax |
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Provider Business Mailing Address
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Address Line | 4100 W ALAMEDA AVE FL 3
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City | BURBANK
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State | CA
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Zip | 91505-4191
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Country | US
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Telephone | 818-304-7277
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARKIS PETROSYAN
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Credential |
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Telephone | 818-304-7277
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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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