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General NPI Number Information
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NPI Number | 1346690153
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Entity Type | Organization
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Legal Business Name | HOSPICE CARE OF THE COAST INC
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Dates
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Enumeration Date | 06/13/2016
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Last Update Date | 03/03/2023
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Provider Practice Location Address
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Address Line | 1340 W VALLEY PKWY STE 103
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City | ESCONDIDO
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State | CA
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Zip | 92029-2135
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Country | US
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Telephone | 760-294-3422
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Fax | 760-294-1166
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Provider Business Mailing Address
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Address Line | 1340 W VALLEY PKWY STE 103
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City | ESCONDIDO
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State | CA
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Zip | 92029-2135
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Country | US
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Telephone | 760-294-3422
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Fax | 760-294-1166
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MRS. MARI DEE SANDRA CONCEPCION CID
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Credential | RN, MSN
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Telephone | 858-344-5658
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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 | 3897516
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License Number State | CA
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