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General NPI Number Information
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NPI Number | 1194323972
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Entity Type | Organization
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Legal Business Name | MD HOSPICE GROUP
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Dates
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Enumeration Date | 10/13/2020
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Last Update Date | 05/26/2021
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Provider Practice Location Address
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Address Line | 16909 PARTHENIA ST STE 301
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City | NORTHRIDGE
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State | CA
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Zip | 91343-4558
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Country | US
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Telephone | 818-691-0815
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Fax | 818-691-0851
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Provider Business Mailing Address
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Address Line | 16909 PARTHENIA ST STE 301
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City | NORTHRIDGE
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State | CA
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Zip | 91343-4558
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Country | US
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Telephone | 818-691-0815
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Fax | 818-691-0851
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | EDGAR MELKUMYAN
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Credential |
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Telephone | 310-666-2392
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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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