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General NPI Number Information
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NPI Number | 1043005432
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Entity Type | Organization
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Legal Business Name | EAST COAST HOSPICE INC.
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 11350 RANDOM HILLS RD STE 819
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City | FAIRFAX
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State | VA
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Zip | 22030-6044
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Country | US
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Telephone | 703-996-9996
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Fax | 703-996-9360
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Provider Business Mailing Address
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Address Line | 11350 RANDOM HILLS RD STE 819
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City | FAIRFAX
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State | VA
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Zip | 22030-6044
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Country | US
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Telephone | 703-996-9996
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Fax | 703-996-9360
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Authorized Official
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Title or Position | OWNER/SHAREHOLDER
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Name | ARSEN KAZARYAN
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Credential |
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Telephone | 818-601-0616
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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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