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General NPI Number Information
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NPI Number | 1255943387
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Entity Type | Organization
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Legal Business Name | INFINITE HOSPICE
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Dates
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Enumeration Date | 08/19/2020
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 5121 VAN NUYS BLVD STE 202
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-6110
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Country | US
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Telephone | 818-745-7659
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Fax | 818-745-1044
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Provider Business Mailing Address
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Address Line | 5121 VAN NUYS BLVD STE 202
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-6110
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Country | US
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Telephone | 818-745-7659
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Fax | 818-745-1044
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Authorized Official
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Title or Position | CEO/OWNER
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Name | SEROB TERZYAN
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Credential |
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Telephone | 818-745-7659
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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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