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General NPI Number Information
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NPI Number | 1427355205
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Entity Type | Organization
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Legal Business Name | ST.NECTARIOS HOSPICE, INC.
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Dates
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Enumeration Date | 02/14/2011
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Last Update Date | 09/08/2022
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Provider Practice Location Address
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Address Line | 3600 WILSHIRE BLVD STE 428
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City | LOS ANGELES
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State | CA
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Zip | 90010-2608
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Country | US
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Telephone | 213-388-0025
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Fax | 213-388-0020
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Provider Business Mailing Address
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Address Line | 3600 WILSHIRE BLVD STE 428
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City | LOS ANGELES
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State | CA
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Zip | 90010-2608
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Country | US
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Telephone | 213-388-0025
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Fax | 213-388-0020
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Authorized Official
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Title or Position | CEO
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Name | ANDREW JONES
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Credential |
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Telephone | 213-388-0025
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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 | 550001768
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License Number State | CA
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