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General NPI Number Information
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NPI Number | 1326232810
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Entity Type | Organization
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Legal Business Name | ACTIVE HOSPICE CARE INC.
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Dates
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Enumeration Date | 08/28/2007
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Last Update Date | 02/25/2009
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Provider Practice Location Address
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Address Line | 704 S VICTORY BLVD STE 100
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City | BURBANK
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State | CA
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Zip | 91502-2471
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Country | US
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Telephone | 818-848-8222
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Fax | 818-848-8229
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Provider Business Mailing Address
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Address Line | 704 S VICTORY BLVD STE 100
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City | BURBANK
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State | CA
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Zip | 91502-2471
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Country | US
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Telephone | 818-848-8222
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Fax | 818-848-8229
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ARAM BASMADJYAN
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Credential |
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Telephone | 818-848-8222
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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 | 550000320
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License Number State | CA
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