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General NPI Number Information
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NPI Number | 1093192932
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Entity Type | Organization
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Legal Business Name | RADIANT CARE HOSPICE LLC
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Dates
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Enumeration Date | 04/29/2015
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Last Update Date | 04/29/2015
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Provider Practice Location Address
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Address Line | 1740 MARCO POLO WAY SUITE 9
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City | BURLINGAME
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State | CA
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Zip | 94010-4522
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Country | US
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Telephone | 800-610-4153
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Fax | 800-610-4156
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Provider Business Mailing Address
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Address Line | 1740 MARCO POLO WAY SUITE 9
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City | BURLINGAME
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State | CA
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Zip | 94010-4522
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Country | US
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Telephone | 800-610-4153
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Fax | 800-610-4156
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALI N WARRIACH
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Credential |
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Telephone | 408-707-5622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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