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General NPI Number Information
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NPI Number | 1164538765
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Entity Type | Organization
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Legal Business Name | ADMIRAL HOSPICE CARE, INC.
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 08/05/2009
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Provider Practice Location Address
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Address Line | 4010 WATSON PLAZA DR. SUITE 120
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City | LAKEWOOD
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State | CA
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Zip | 90712-4000
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Country | US
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Telephone | 562-429-1500
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Fax | 562-429-1599
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Provider Business Mailing Address
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Address Line | 4010 WATSON PLAZA DR. SUITE 120
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City | LAKEWOOD
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State | CA
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Zip | 90712-4000
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Country | US
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Telephone | 562-429-1500
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Fax | 562-429-1599
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MS. JOSIE AUSTRIA JONES
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Credential | RN, BSN, MS
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Telephone | 562-254-6111
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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 | DHS-CA980008682
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 550000244
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License Number State | CA
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