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General NPI Number Information
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NPI Number | 1285979823
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Entity Type | Organization
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Legal Business Name | CATTLEYA HOSPICE CARE
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Dates
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Enumeration Date | 12/08/2012
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 750 TERRADO PLZ SUITE 239
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City | COVINA
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State | CA
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Zip | 91723-3419
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Country | US
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Telephone | 909-214-1860
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Fax |
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Provider Business Mailing Address
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Address Line | 750 TERRADO PLZ SUITE 239
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City | COVINA
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State | CA
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Zip | 91723-3419
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Country | US
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Telephone | 909-214-1860
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. MARILOU PULANCO
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Credential | RN
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Telephone | 909-214-1860
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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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