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General NPI Number Information
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NPI Number | 1417532474
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Entity Type | Organization
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Legal Business Name | SAMARITAN PALLIATIVE & HOSPICE CARE INC
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Dates
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Enumeration Date | 03/11/2021
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Last Update Date | 03/12/2021
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Provider Practice Location Address
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Address Line | 3403 E PLAZA BLVD STE D
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City | NATIONAL CITY
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State | CA
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Zip | 91950-4140
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Country | US
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Telephone | 619-470-9888
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Fax |
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Provider Business Mailing Address
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Address Line | 3403 E PLAZA BLVD STE D
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City | NATIONAL CITY
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State | CA
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Zip | 91950-4140
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Country | US
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Telephone | 619-470-9888
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JULIET MENDOZA
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Credential |
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Telephone | 619-470-9888
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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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