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General NPI Number Information
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NPI Number | 1285041574
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE CHOICE HOSPICE INC
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Dates
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Enumeration Date | 07/18/2014
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Last Update Date | 07/18/2014
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Provider Practice Location Address
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Address Line | 14640 VICTORY BLVD #201
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City | VAN NUYS
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State | CA
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Zip | 91411-1623
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Country | US
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Telephone | 818-655-0304
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Fax |
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Provider Business Mailing Address
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Address Line | 14640 VICTORY BLVD #201
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City | VAN NUYS
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State | CA
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Zip | 91411-1623
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Country | US
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Telephone | 818-655-0304
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ARAM VARDANYAN
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Credential |
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Telephone | 818-489-8183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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