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General NPI Number Information
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NPI Number | 1437506409
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Entity Type | Organization
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Legal Business Name | COMMITTED HOSPICE CARE INC.
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Dates
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Enumeration Date | 05/19/2016
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Last Update Date | 04/13/2023
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Provider Practice Location Address
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Address Line | 12062 VALLEY VIEW ST SUITE 235
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City | GARDEN GROVE
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State | CA
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Zip | 92845-1737
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Country | US
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Telephone | 657-227-3847
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Fax | 657-227-3855
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Provider Business Mailing Address
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Address Line | 12062 VALLEY VIEW ST SUITE 235
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City | GARDEN GROVE
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State | CA
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Zip | 92845-1737
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Country | US
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Telephone | 657-227-3847
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Fax | 657-227-3855
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MAYA MELLINA THONA
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Credential |
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Telephone | 714-606-7986
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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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