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General NPI Number Information
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NPI Number | 1083015200
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Entity Type | Organization
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Legal Business Name | IN GOOD HANDS HOSPICE, INC.
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Dates
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Enumeration Date | 09/08/2014
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Last Update Date | 03/13/2020
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Provider Practice Location Address
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Address Line | 12158 HAMLIN ST STE 3
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-1433
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Country | US
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Telephone | 818-760-7164
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Fax | 818-960-7164
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Provider Business Mailing Address
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Address Line | 6260 LAUREL CANYON BLVD STE 301
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-3243
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Country | US
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Telephone | 818-760-7164
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Fax | 818-760-7165
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Authorized Official
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Title or Position | CEO/ADMINISTRATOR
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Name | VARDUI AYDEDJIAN
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Credential |
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Telephone | 818-760-7164
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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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