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General NPI Number Information
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NPI Number | 1053994822
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Entity Type | Organization
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Legal Business Name | DMC HOSPICE CARE
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Dates
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Enumeration Date | 04/29/2021
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Last Update Date | 04/29/2021
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Provider Practice Location Address
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Address Line | 25101 THE OLD RD STE 124
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City | SANTA CLARITA
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State | CA
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Zip | 91381-2206
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Country | US
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Telephone | 661-212-1349
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Fax |
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Provider Business Mailing Address
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Address Line | 25101 THE OLD RD STE 124
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City | SANTA CLARITA
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State | CA
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Zip | 91381-2206
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Country | US
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Telephone | 616-212-1349
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. AXLE ROSS DE VILLA
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Credential |
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Telephone | 661-212-1349
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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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