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General NPI Number Information
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NPI Number | 1154720522
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Entity Type | Organization
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Legal Business Name | ELIM WELLCARE HOSPICE, LLC
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Dates
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Enumeration Date | 08/21/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 690 WILSHIRE PL STE 307
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City | LOS ANGELES
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State | CA
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Zip | 90005-3930
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Country | US
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Telephone | 626-793-7511
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Fax | 626-782-6990
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Provider Business Mailing Address
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Address Line | 690 WILSHIRE PL STE 307
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City | LOS ANGELES
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State | CA
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Zip | 90005-3930
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Country | US
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Telephone | 626-793-7511
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Fax | 626-782-6990
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DANNY CHUN
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Credential |
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Telephone | 626-793-7511
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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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