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General NPI Number Information
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NPI Number | 1467430199
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Entity Type | Organization
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Legal Business Name | ST. LIZ HOSPICE, INC.
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Dates
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Enumeration Date | 01/03/2006
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Last Update Date | 01/05/2023
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Provider Practice Location Address
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Address Line | 1910 W SUNSET BLVD. SUITE 420
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City | LOS ANGELES
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State | CA
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Zip | 90026-3281
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Country | US
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Telephone | 213-365-6499
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Fax | 888-415-5250
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Provider Business Mailing Address
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Address Line | 1910 W SUNSET BLVD. SUITE 420
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City | LOS ANGELES
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State | CA
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Zip | 90026-3281
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Country | US
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Telephone | 213-365-6499
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Fax | 888-415-5250
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Authorized Official
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Title or Position | CEO
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Name | RICARDO MORENO YAO
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Credential | CERT. HOSPICE ADM.
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Telephone | 213-365-6499
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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 | 980001331
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License Number State | CA
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