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General NPI Number Information
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NPI Number | 1255615548
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Entity Type | Organization
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Legal Business Name | CALIFORNIA HOSPICE CORP
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Dates
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Enumeration Date | 10/05/2011
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Last Update Date | 10/06/2020
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Provider Practice Location Address
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Address Line | 905 S. LAKE ST SUITE 201 AND 202 AND 202
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City | BURBANK
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State | CA
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Zip | 91502
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Country | US
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Telephone | 818-557-6444
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Fax | 818-557-6333
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Provider Business Mailing Address
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Address Line | 905 S. LAKE ST SUITE 202
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City | BURBANK
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State | CA
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Zip | 91502
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Country | US
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Telephone | 818-557-6444
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Fax | 818-557-6333
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Authorized Official
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Title or Position | CEO
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Name | MRS. ANNA KHACHATRYAN
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Credential | CEO
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Telephone | 818-557-6444
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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 | 550001932
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License Number State | CA
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