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General NPI Number Information
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NPI Number | 1124070503
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Entity Type | Organization
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Legal Business Name | AMERICARE HOSPICE CORPORATION
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 03/23/2009
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Provider Practice Location Address
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Address Line | 7697 9TH ST 206
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City | BUENA PARK
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State | CA
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Zip | 90621-2898
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Country | US
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Telephone | 714-690-2961
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Fax | 714-690-2978
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Provider Business Mailing Address
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Address Line | 7697 9TH ST 206
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City | BUENA PARK
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State | CA
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Zip | 90621-2898
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Country | US
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Telephone | 714-690-2961
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Fax | 714-690-2978
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Authorized Official
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Title or Position | PRESIDENT
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Name | ZAKHAR VAYNEROV
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Credential |
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Telephone | 714-690-2961
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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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