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General NPI Number Information
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NPI Number | 1326665324
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Entity Type | Organization
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Legal Business Name | A GRADE HOSPICE AND PALLIATIVE CARE, INC.
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Dates
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Enumeration Date | 06/25/2020
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Last Update Date | 06/25/2020
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Provider Practice Location Address
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Address Line | 8700 RESEDA BLVD STE 202E
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City | NORTHRIDGE
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State | CA
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Zip | 91324-4041
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Country | US
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Telephone | 818-213-0958
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Fax | 818-688-0284
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Provider Business Mailing Address
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Address Line | 8700 RESEDA BLVD STE 202E
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City | NORTHRIDGE
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State | CA
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Zip | 91324-4041
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Country | US
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Telephone | 818-213-0958
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Fax | 818-688-0284
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. MANE TOVMASYAN
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Credential |
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Telephone | 818-384-3006
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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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