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General NPI Number Information
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NPI Number | 1194097741
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Entity Type | Organization
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Legal Business Name | INTEGRITY CARE OF THE WEST, INC.
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Dates
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Enumeration Date | 01/29/2012
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Last Update Date | 01/29/2012
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Provider Practice Location Address
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Address Line | 15130 VENTURA BLVD 304
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-3301
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Country | US
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Telephone | 818-275-4649
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Fax |
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Provider Business Mailing Address
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Address Line | 15130 VENTURA BLVD 304
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-3301
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Country | US
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Telephone | 818-275-4649
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MRS. THERESA BERSHATSKI
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Credential |
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Telephone | 818-275-4649
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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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