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NPI 1306117742

NPI 1306117742 : VISITING NURSES HOSPICE, INC. : NORTH HOLLYWOOD, CA

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General NPI Number Information
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    NPI Number           |    1306117742
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    Entity Type          |    Organization 
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    Legal Business Name  |    VISITING NURSES HOSPICE, INC. 
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Dates
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    Enumeration Date     |    01/17/2012
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    Last Update Date     |    08/27/2015
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Provider Practice Location Address
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    Address Line         |    10545 BURBANK BLVD SUITE 105
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    City                 |    NORTH HOLLYWOOD
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    State                |    CA
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    Zip                  |    91601-2245
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    Country              |    US
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    Telephone            |    818-485-2218
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    Fax                  |    818-237-4770
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Provider Business Mailing Address
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    Address Line         |    539 N GLENOAKS BLVD SUITE 203
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    City                 |    BURBANK
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    State                |    CA
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    Zip                  |    91502-3201
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    Country              |    US
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    Telephone            |    818-485-2218
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    Fax                  |    818-237-4770
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MISS SONA  UNDZHYAN 
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    Credential           |    
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    Telephone            |    818-485-2218
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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 |    CA
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