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General NPI Number Information
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NPI Number | 1366842684
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Entity Type | Organization
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Legal Business Name | SONORAN WINDS HOSPICE, INC
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Dates
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Enumeration Date | 08/25/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 6131 ORANGETHORPE AVE STE 180
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City | BUENA PARK
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State | CA
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Zip | 90620-4901
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Country | US
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Telephone | 714-523-5030
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Fax | 714-523-5060
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Provider Business Mailing Address
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Address Line | 6131 ORANGETHORPE AVE SUITE 180
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City | BUENA PARK
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State | CA
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Zip | 90620-1315
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Country | US
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Telephone | 714-523-5030
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Fax | 714-523-5060
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Authorized Official
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Title or Position | CEO, ADMINISTRATOR
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Name | ANTHONY FERRIO
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Credential |
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Telephone | 714-523-5030
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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 | 550000234
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License Number State | CA
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