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General NPI Number Information
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NPI Number | 1396726493
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Entity Type | Organization
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Legal Business Name | OPTIMAL HOSPICE, INC.
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 04/25/2023
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Provider Practice Location Address
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Address Line | 4900 CALIFORNIA AVE STE 110A
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City | BAKERSFIELD
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State | CA
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Zip | 93309-7024
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Country | US
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Telephone | 661-716-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 1227 CHESTER AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93301-5445
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Country | US
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Telephone | 661-410-3000
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE VP/CFO
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Name | GERRY NORMAN CHRISTENSEN
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Credential |
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Telephone | 801-433-0932
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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 | 070000581
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License Number State | CA
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