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General NPI Number Information
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NPI Number | 1336711688
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Entity Type | Organization
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Legal Business Name | KOLIBRI HOSPICE LLC
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Dates
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Enumeration Date | 07/15/2021
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Last Update Date | 09/14/2021
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Provider Practice Location Address
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Address Line | 3353 BRADSHAW RD STE 205
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City | SACRAMENTO
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State | CA
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Zip | 95827-2610
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Country | US
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Telephone | 916-538-2727
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Fax | 833-649-2639
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Provider Business Mailing Address
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Address Line | 6817 WESTMORE WAY
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City | CARMICHAEL
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State | CA
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Zip | 95608-1539
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Country | US
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Telephone | 916-538-2727
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Fax | 833-649-2639
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Authorized Official
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Title or Position | OWNER
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Name | LUIS LUZZATTI
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Credential |
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Telephone | 916-221-1686
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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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Taxonomy #2
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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 |
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