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General NPI Number Information
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NPI Number | 1043858285
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Entity Type | Organization
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Legal Business Name | LED HOSPICE CARE
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Dates
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Enumeration Date | 12/18/2019
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Last Update Date | 12/20/2020
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Provider Practice Location Address
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Address Line | 8741 VAN NUYS BLVD STE 204
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City | PANORAMA CITY
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State | CA
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Zip | 91402-2440
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Country | US
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Telephone | 747-529-4055
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Fax |
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Provider Business Mailing Address
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Address Line | 8741 VAN NUYS BLVD STE 204
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City | PANORAMA CITY
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State | CA
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Zip | 91402-2440
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Country | US
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Telephone | 747-529-4055
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ANNA KOJOYAN
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Credential |
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Telephone | 747-529-4055
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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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