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General NPI Number Information
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NPI Number | 1225629413
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Entity Type | Organization
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Legal Business Name | ALLIANCE CARE HOSPICE,INC.
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Dates
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Enumeration Date | 01/29/2021
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Last Update Date | 11/17/2021
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Provider Practice Location Address
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Address Line | 6550 VAN BUREN BLVD STE C
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City | RIVERSIDE
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State | CA
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Zip | 92503-1544
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Country | US
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Telephone | 302-531-5006
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Fax |
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Provider Business Mailing Address
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Address Line | 6550 VAN BUREN BLVD STE C
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City | RIVERSIDE
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State | CA
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Zip | 92503-1544
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Country | US
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Telephone | 302-531-5006
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | REYNALDO CATACUTAN JR.
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Credential |
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Telephone | 302-531-5006
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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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