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General NPI Number Information
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NPI Number | 1376817973
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Entity Type | Organization
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Legal Business Name | AMERICADE PALLIATIVE HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 02/28/2012
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Last Update Date | 08/04/2015
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Provider Practice Location Address
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Address Line | 420 N MONTEBELLO BLVD., #205
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City | MONTEBELLO
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State | CA
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Zip | 90640-4263
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Country | US
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Telephone | 323-728-8160
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Fax | 323-728-8319
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Provider Business Mailing Address
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Address Line | 420 N MONTEBELLO BLVD., #205
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City | MONTEBELLO
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State | CA
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Zip | 90640-4263
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Country | US
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Telephone | 323-728-8160
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Fax | 323-728-8319
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. JOSE R LOZANO
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Credential |
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Telephone | 323-728-8160
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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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