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General NPI Number Information
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NPI Number | 1205434180
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Entity Type | Organization
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Legal Business Name | LEADING HOSPICE & PALLIATIVE CARE
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Dates
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Enumeration Date | 10/13/2020
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Last Update Date | 10/27/2022
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Provider Practice Location Address
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Address Line | 5121 VAN NUYS BLVD STE 200A
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-6128
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Country | US
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Telephone | 818-946-8077
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Fax | 818-946-8079
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Provider Business Mailing Address
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Address Line | 5121 VAN NUYS BLVD STE 200A
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-6128
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Country | US
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Telephone | 818-946-8077
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Fax | 818-946-8079
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Authorized Official
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Title or Position | OWNER
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Name | JULIE STAMBULYAN
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Credential |
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Telephone | 818-284-8159
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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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