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NPI 1366817033

NPI 1366817033 : UNIFIED HOSPICE CARE, LLC : GARDEN GROVE, CA

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General NPI Number Information
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    NPI Number           |    1366817033
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNIFIED HOSPICE CARE, LLC 
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Dates
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    Enumeration Date     |    12/07/2015
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    Last Update Date     |    11/26/2020
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Provider Practice Location Address
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    Address Line         |    7077 ORANGEWOOD AVE STE 120 
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    City                 |    GARDEN GROVE
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    State                |    CA
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    Zip                  |    92841-1439
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    Country              |    US
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    Telephone            |    562-279-1181
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    Fax                  |    562-279-1180
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Provider Business Mailing Address
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    Address Line         |    7077 ORANGEWOOD AVE STE 120 
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    City                 |    GARDEN GROVE
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    State                |    CA
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    Zip                  |    92841-1439
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MEMBER
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    Name                 |     MARIA ROSARIO CHARISSE ABELLO 
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    Credential           |    
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    Telephone            |    562-279-1181
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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 |    CA
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