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General NPI Number Information
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NPI Number | 1376729467
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Entity Type | Organization
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Legal Business Name | CARELINE HOSPICE, INC.
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Dates
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Enumeration Date | 01/18/2008
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Last Update Date | 08/08/2008
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Provider Practice Location Address
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Address Line | 337 E ARROW HWY
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City | CLAREMONT
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State | CA
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Zip | 91711-5009
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Country | US
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Telephone | 909-399-9797
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Fax |
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Provider Business Mailing Address
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Address Line | 337 E ARROW HWY
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City | CLAREMONT
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State | CA
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Zip | 91711-5009
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Country | US
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Telephone | 909-399-9797
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PATIENT CARE SERVICES
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Name | MS. OLIVIA CORRAL
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Credential | RN, BSN
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Telephone | 909-399-9797
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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 | 980001631
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License Number State | CA
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