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General NPI Number Information
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NPI Number | 1467060574
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Entity Type | Organization
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Legal Business Name | MARYS HELP HOSPICE SERVICES
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Dates
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Enumeration Date | 07/15/2020
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Last Update Date | 07/15/2020
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Provider Practice Location Address
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Address Line | 3469 TENNESSEE ST STE 101
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City | VALLEJO
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State | CA
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Zip | 94591-4908
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Country | US
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Telephone | 707-645-7447
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Fax |
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Provider Business Mailing Address
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Address Line | 3469 TENNESSEE ST STE 101
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City | VALLEJO
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State | CA
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Zip | 94591-4908
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Country | US
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Telephone | 707-645-7447
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. WARREN DELFIN
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Credential | RN
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Telephone | 650-581-1359
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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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