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General NPI Number Information
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NPI Number | 1124428370
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Entity Type | Organization
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Legal Business Name | CALIFORNIA HOSPICE AND NURSING SERVICES, INC.
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Dates
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Enumeration Date | 08/25/2014
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Last Update Date | 03/19/2018
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Provider Practice Location Address
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Address Line | 3218 E HOLT AVE STE 203
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City | WEST COVINA
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State | CA
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Zip | 91791-2310
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Country | US
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Telephone | 323-594-8060
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Fax | 888-586-1289
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Provider Business Mailing Address
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Address Line | 3218 E HOLT AVE STE 203
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City | WEST COVINA
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State | CA
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Zip | 91791-2310
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Country | US
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Telephone | 323-594-8060
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Fax | 888-586-1289
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID W WALLIS
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Credential |
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Telephone | 323-594-8060
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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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