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General NPI Number Information
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NPI Number | 1114599792
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Entity Type | Organization
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Legal Business Name | SUPPORTING HOSPICE CARE, INC.
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Dates
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Enumeration Date | 07/14/2021
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Last Update Date | 07/14/2021
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Provider Practice Location Address
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Address Line | 117 E COLORADO BLVD STE 658
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City | PASADENA
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State | CA
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Zip | 91105-1938
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Country | US
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Telephone | 800-490-2090
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Fax | 800-442-0982
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Provider Business Mailing Address
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Address Line | 117 E COLORADO BLVD STE 658
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City | PASADENA
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State | CA
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Zip | 91105-1938
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Country | US
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Telephone | 800-490-2090
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Fax | 800-442-0982
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Authorized Official
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Title or Position | CEO/CFO/SECRETARY/BM
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Name | LIANA MARTIROSYAN
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Credential |
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Telephone | 800-490-2090
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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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