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General NPI Number Information
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NPI Number | 1295364909
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Entity Type | Organization
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Legal Business Name | GOLDEN STANDARD HOSPICE
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Dates
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Enumeration Date | 04/04/2020
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Last Update Date | 04/04/2020
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Provider Practice Location Address
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Address Line | 1400 EASTON DR STE 147B
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City | BAKERSFIELD
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State | CA
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Zip | 93309-9406
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Country | US
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Telephone | 805-823-5901
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Fax |
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Provider Business Mailing Address
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Address Line | 2229 KNOLLHAVEN ST
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City | SIMI VALLEY
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State | CA
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Zip | 93065-2526
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Country | US
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Telephone | 805-823-5901
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Fax |
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Authorized Official
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Title or Position | DPCS
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Name | MARIEL VILLAREAL
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Credential | RN
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Telephone | 805-823-5901
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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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