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General NPI Number Information
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NPI Number | 1205403136
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Entity Type | Organization
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Legal Business Name | HEALTH AT HOME HOSPICE - SACRAMENTO, LLC
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Dates
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Enumeration Date | 06/09/2021
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Last Update Date | 07/21/2021
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Provider Practice Location Address
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Address Line | 555 UNIVERSITY AVE STE 230
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City | SACRAMENTO
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State | CA
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Zip | 95825-6505
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Country | US
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Telephone | 916-614-9517
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 HEALTH PARK DR
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City | BRENTWOOD
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State | TN
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Zip | 37027-4692
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Country | US
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Telephone | 615-372-8818
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Fax |
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Authorized Official
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Title or Position | VP
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Name | ERIK L. LARSEN
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Credential |
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Telephone | 615-344-5032
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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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