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General NPI Number Information
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NPI Number | 1407856487
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Entity Type | Organization
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Legal Business Name | PACIFIC HOSPICE INC.
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 08/12/2022
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Provider Practice Location Address
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Address Line | 1998 N ARROWHEAD AVE
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City | SAN BERNARDINO
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State | CA
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Zip | 92405-4116
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Country | US
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Telephone | 909-882-8466
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Fax | 909-882-9203
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Provider Business Mailing Address
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Address Line | 1998 N ARROWHEAD AVE
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City | SAN BERNARDINO
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State | CA
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Zip | 92405-4116
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Country | US
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Telephone | 909-882-8466
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Fax | 909-882-9203
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. SUNIL ARORA
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Credential | MD
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Telephone | 909-882-8466
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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 | 080000790
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License Number State | CA
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