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General NPI Number Information
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NPI Number | 1164087060
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Entity Type | Organization
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Legal Business Name | RIVERSIDE HOSPICE CARE
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Dates
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Enumeration Date | 05/06/2019
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Last Update Date | 10/15/2021
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Provider Practice Location Address
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Address Line | 9261 FOLSOM BLVD STE 402
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City | SACRAMENTO
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State | CA
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Zip | 95826-2559
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Country | US
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Telephone | 916-668-8866
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Fax |
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Provider Business Mailing Address
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Address Line | 9261 FOLSOM BLVD STE 402
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City | SACRAMENTO
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State | CA
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Zip | 95826-2559
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Country | US
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Telephone | 916-668-8866
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Fax |
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Authorized Official
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Title or Position | CEO,CFO, SECRETARY
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Name | SAM NERSESYAN
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Credential |
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Telephone | 916-284-9698
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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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