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General NPI Number Information
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NPI Number | 1033731906
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Entity Type | Organization
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Legal Business Name | NEW LIGHT PALLIATIVE CARE
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Dates
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Enumeration Date | 05/13/2020
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Last Update Date | 05/13/2020
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Provider Practice Location Address
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Address Line | 1517 S LA CIENEGA BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90035-3711
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Country | US
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Telephone | 310-503-8037
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Fax |
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Provider Business Mailing Address
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Address Line | 1517 S LA CIENEGA BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90035-3711
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Country | US
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Telephone | 310-503-8037
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Fax |
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Authorized Official
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Title or Position | CEO ADMINISTRATOR
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Name | MISS LUCIA BASILIO INGENTE
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Credential | RN
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Telephone | 310-503-8037
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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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