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General NPI Number Information
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NPI Number | 1194013110
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Entity Type | Organization
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Legal Business Name | ANGELS OF THE VALLEY HOSPICE CARE SOUTH BAY
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Dates
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Enumeration Date | 07/11/2011
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Last Update Date | 07/11/2011
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Provider Practice Location Address
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Address Line | 11911 ARTESIA BLVD SUITE 104A
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City | CERRITOS
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State | CA
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Zip | 90701-4065
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Country | US
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Telephone | 562-402-3639
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Fax | 562-402-3839
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Provider Business Mailing Address
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Address Line | 11911 ARTESIA BLVD SUITE 104A
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City | CERRITOS
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State | CA
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Zip | 90701-4065
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Country | US
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Telephone | 562-402-3639
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Fax | 562-402-3839
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ROWENA I ARGONZA
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Credential |
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Telephone | 562-402-3639
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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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