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General NPI Number Information
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NPI Number | 1366507048
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Entity Type | Organization
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Legal Business Name | MERCY HOSPICE, LLC
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Dates
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Enumeration Date | 12/24/2006
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Last Update Date | 05/20/2010
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Provider Practice Location Address
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Address Line | 211 W ALAMEDA AVE SUITE 102
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City | BURBANK
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State | CA
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Zip | 91502-2570
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Country | US
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Telephone | 818-841-8879
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Fax | 818-841-8680
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Provider Business Mailing Address
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Address Line | 211 W ALAMEDA AVE SUITE 102
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City | BURBANK
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State | CA
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Zip | 91502-2570
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Country | US
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Telephone | 818-841-8879
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Fax | 818-841-8680
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Authorized Official
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Title or Position | CONTACT PERSON
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Name | MS. ELENA JORNIAK
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Credential |
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Telephone | 818-841-8879
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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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