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General NPI Number Information
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NPI Number | 1043394356
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Entity Type | Organization
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Legal Business Name | ACE HOSPICE INC
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 628 N VERMONT AVE UNIT 4
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City | LOS ANGELES
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State | CA
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Zip | 90004-2117
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Country | US
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Telephone | 323-805-0175
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Fax | 323-668-2784
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Provider Business Mailing Address
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Address Line | 628 N VERMONT AVE UNIT 4
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City | LOS ANGELES
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State | CA
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Zip | 90004-2117
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Country | US
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Telephone | 323-805-0175
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Fax | 323-668-2784
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Authorized Official
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Title or Position | DIRECTOR OF PATIENT CARE SERVICES
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Name | SANDRA MARGARET KOCHOA
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Credential | RN
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Telephone | 323-805-0175
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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 | CA
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