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General NPI Number Information
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NPI Number | 1144977398
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Entity Type | Organization
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Legal Business Name | SOUTHERN CALIFORNIA HOSPICE FOUNDATION
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Dates
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Enumeration Date | 03/08/2022
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Last Update Date | 03/08/2022
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Provider Practice Location Address
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Address Line | 24552 MOSQUERO LN
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City | MISSION VIEJO
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State | CA
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Zip | 92691-4911
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Country | US
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Telephone | 949-770-7243
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Fax |
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Provider Business Mailing Address
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Address Line | 3200 PARK CENTER DR STE 1250
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City | COSTA MESA
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State | CA
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Zip | 92626-7227
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Country | US
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Telephone | 877-661-0087
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. MICHELLE WULFESTIEG
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Credential |
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Telephone | 714-404-0553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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