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General NPI Number Information
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NPI Number | 1316569973
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Entity Type | Organization
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Legal Business Name | ALTUS HOSPICE,INC.
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Dates
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Enumeration Date | 05/16/2020
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Last Update Date | 05/25/2022
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Provider Practice Location Address
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Address Line | 11490 BURBANK BLVD STE 3D
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91601-2385
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Country | US
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Telephone | 818-813-8171
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Fax |
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Provider Business Mailing Address
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Address Line | 11490 BURBANK BLVD STE 3D
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91601-2385
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Country | US
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Telephone | 818-813-8171
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ALFRED ALVARADO DE NIEVA II
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Credential |
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Telephone | 818-813-8171
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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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