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General NPI Number Information
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NPI Number | 1437258860
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Entity Type | Organization
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Legal Business Name | PEREGRINE HOSPICE, INC.
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3440 W CARSON ST SUITE 301
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City | TORRANCE
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State | CA
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Zip | 90503-5730
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Country | US
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Telephone | 310-371-3080
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Fax | 310-371-3359
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Provider Business Mailing Address
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Address Line | 3440 W CARSON ST SUITE 301
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City | TORRANCE
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State | CA
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Zip | 90503-5730
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Country | US
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Telephone | 310-371-3080
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Fax | 310-371-3359
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | NORMA M. SARAO
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Credential | M.D.
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Telephone | 310-371-3080
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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 | CA
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