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General NPI Number Information
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NPI Number | 1316921760
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Entity Type | Organization
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Legal Business Name | ST. CLAIR HOSPICE, INC.
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 06/18/2014
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Provider Practice Location Address
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Address Line | 8501 WILSHIRE BLVD. SUITE 336
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3134
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Country | US
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Telephone | 310-933-6886
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Fax | 310-289-5148
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Provider Business Mailing Address
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Address Line | 8501 WILSHIRE BLVD. SUITE 336
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3134
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Country | US
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Telephone | 310-933-6886
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Fax | 310-289-5148
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Authorized Official
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Title or Position | ADMINISTRATOR/CEO
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Name | MS. MARGARET ROSE R LANAM
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Credential | RN
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Telephone | 310-864-2807
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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 | 980000962
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License Number State | CA
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Taxonomy #2
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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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