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General NPI Number Information
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NPI Number | 1245674217
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Entity Type | Organization
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Legal Business Name | BEACON HOSPICE CARE
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Dates
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Enumeration Date | 04/22/2013
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 221 W F ST
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City | ONTARIO
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State | CA
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Zip | 91762-3203
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Country | US
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Telephone | 909-608-7555
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Fax | 909-929-2484
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Provider Business Mailing Address
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Address Line | 221 W F ST
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City | ONTARIO
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State | CA
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Zip | 91762-3203
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Country | US
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Telephone | 909-608-7555
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Fax | 909-929-2484
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Authorized Official
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Title or Position | CEO
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Name | MS. ROSEMARIE SORIANO
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Credential | RN
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Telephone | 714-600-5396
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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 | 550002712
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License Number State | CA
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