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General NPI Number Information
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NPI Number | 1457712333
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Entity Type | Organization
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Legal Business Name | RADIANCE HOSPICE, INC.
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Dates
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Enumeration Date | 03/18/2016
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Last Update Date | 04/10/2023
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Provider Practice Location Address
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Address Line | 15501 SAN FERNANDO MISSION BLVD STE 301
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City | MISSION HILLS
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State | CA
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Zip | 91345-1382
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Country | US
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Telephone | 818-588-4826
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Fax | 818-588-4876
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Provider Business Mailing Address
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Address Line | 4201 LONG BEACH BLVD. STE 412A
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City | LONG BEACH
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State | CA
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Zip | 90807-2022
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Country | US
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Telephone | 949-293-8686
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Fax | 818-588-4876
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | KENT E CHESLEY
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Credential |
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Telephone | 949-293-8686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number |
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License Number State |
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Taxonomy #2
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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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