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General NPI Number Information
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NPI Number | 1073935664
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Entity Type | Organization
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Legal Business Name | EXCELCARE HOSPICE INC
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Dates
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Enumeration Date | 01/16/2014
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 937 VIA LATA STE 200
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City | COLTON
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State | CA
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Zip | 92324-3971
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Country | US
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Telephone | 909-300-5533
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Fax | 909-254-5904
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Provider Business Mailing Address
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Address Line | 937 VIA LATA STE 200
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City | COLTON
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State | CA
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Zip | 92324-3971
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Country | US
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Telephone | 747-262-5358
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Fax | 747-262-1521
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Authorized Official
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Title or Position | CEO
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Name | PAULINE MIRANDA
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Credential |
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Telephone | 747-230-6970
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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 | 550002651
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License Number State | CA
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