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NPI 1184061616

NPI 1184061616 : NOHO HOSPICE, INC. : NORTH HOLLYWOOD, CA

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General NPI Number Information
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    NPI Number           |    1184061616
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    Entity Type          |    Organization 
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    Legal Business Name  |    NOHO HOSPICE, INC. 
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Dates
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    Enumeration Date     |    05/23/2013
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    Last Update Date     |    03/04/2015
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Provider Practice Location Address
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    Address Line         |    4942 VINELAND AVE UNIT C
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    City                 |    NORTH HOLLYWOOD
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    State                |    CA
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    Zip                  |    91601-5637
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    Country              |    US
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    Telephone            |    818-821-3431
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    Fax                  |    818-821-3441
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Provider Business Mailing Address
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    Address Line         |    717 S. VICTORY BLVD SUITE B UNIT C
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    City                 |    BURBANK
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    State                |    CA
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    Zip                  |    91502-7171
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    Country              |    US
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    Telephone            |    888-594-9188
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     MARGARET  GAVGAVYAN 
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    Credential           |    
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    Telephone            |    888-594-9188
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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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