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General NPI Number Information
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NPI Number | 1083664353
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Entity Type | Organization
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Legal Business Name | COMPANION HOSPICE, LLC
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 07/13/2007
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Provider Practice Location Address
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Address Line | 4199 FLAT ROCK DR. SUITE 200
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City | RIVERSIDE
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State | CA
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Zip | 92505-5861
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Country | US
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Telephone | 951-371-4274
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Fax | 951-371-6995
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Provider Business Mailing Address
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Address Line | 4199 FLAT ROCK DR. SUITE 200
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City | RIVERSIDE
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State | CA
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Zip | 92505-5861
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Country | US
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Telephone | 951-371-4274
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Fax | 951-371-6995
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. DEBBIE PLESICH
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Credential | RN
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Telephone | 714-557-0883
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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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