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General NPI Number Information
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NPI Number | 1205450285
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Entity Type | Organization
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Legal Business Name | ANGEL PATHWAY HOSPICE, INC.
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Dates
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Enumeration Date | 06/04/2020
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Last Update Date | 06/04/2020
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Provider Practice Location Address
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Address Line | 5300 SANTA MONICA BLVD STE 204
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City | LOS ANGELES
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State | CA
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Zip | 90029-1258
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Country | US
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Telephone | 323-645-7275
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Fax | 323-645-7276
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Provider Business Mailing Address
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Address Line | 5300 SANTA MONICA BLVD STE 204
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City | LOS ANGELES
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State | CA
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Zip | 90029-1258
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Country | US
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Telephone | 323-645-7275
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Fax | 323-645-7276
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Authorized Official
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Title or Position | CEO
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Name | SOSE SHIRINIAN
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Credential |
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Telephone | 424-345-6656
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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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