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General NPI Number Information
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NPI Number | 1386867141
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Entity Type | Organization
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Legal Business Name | VICTORIA HOSPICE SERVICES, INC
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 06/28/2024
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Provider Practice Location Address
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Address Line | 12403 SLAUSON AVE STE A
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City | WHITTIER
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State | CA
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Zip | 90606-2831
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Country | US
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Telephone | 562-404-2255
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Fax | 510-991-0071
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Provider Business Mailing Address
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Address Line | 12403 SLAUSON AVE STE A
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City | WHITTIER
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State | CA
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Zip | 90606-2831
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Country | US
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Telephone | 323-653-0544
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Fax | 323-653-3880
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Authorized Official
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Title or Position | PRESIDENT
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Name | MUBASHIR HASSAN
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Credential | MBA
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Telephone | 323-653-0544
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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 | 980001459
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License Number State | CA
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