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General NPI Number Information
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NPI Number | 1154939791
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Entity Type | Organization
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Legal Business Name | R AND A HOSPICE, INC.
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Dates
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Enumeration Date | 07/20/2020
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | 3 E 3RD AVE STE 322
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City | SAN MATEO
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State | CA
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Zip | 94401-4279
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Country | US
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Telephone | 650-207-9442
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Fax | 415-508-4830
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Provider Business Mailing Address
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Address Line | 3 E 3RD AVE STE 322
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City | SAN MATEO
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State | CA
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Zip | 94401-4279
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Country | US
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Telephone | 650-207-9442
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Fax | 415-508-4830
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARIA SABRINA MABANTA
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Credential |
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Telephone | 650-207-9442
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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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