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General NPI Number Information
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NPI Number | 1346874211
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Entity Type | Organization
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Legal Business Name | HOME SWEET HOME HOSPICE
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Dates
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Enumeration Date | 02/28/2020
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Last Update Date | 02/28/2020
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Provider Practice Location Address
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Address Line | 14429 VENTURA BLVD STE 118
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-2672
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Country | US
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Telephone | 818-643-5330
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Fax |
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Provider Business Mailing Address
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Address Line | 14429 VENTURA BLVD STE 11814429
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-2646
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Country | US
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Telephone | 818-643-5330
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KISTINA KORSHIYA
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Credential |
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Telephone | 818-643-5330
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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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