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General NPI Number Information
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NPI Number | 1114419447
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Entity Type | Organization
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Legal Business Name | CREED HOSPICE INC
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Dates
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Enumeration Date | 06/01/2018
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | 950 COUNTY SQUARE DR STE 203
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City | VENTURA
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State | CA
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Zip | 93003-5427
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Country | US
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Telephone | 805-416-2273
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Fax | 818-927-4074
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Provider Business Mailing Address
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Address Line | 950 COUNTY SQUARE DR STE 203
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City | VENTURA
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State | CA
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Zip | 93003-5427
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Country | US
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Telephone | 805-416-2273
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Fax | 818-927-4074
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Authorized Official
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Title or Position | CEO/CFO/SECRETARY
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Name | TAM T LE
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Credential |
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Telephone | 805-416-2273
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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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