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General NPI Number Information
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NPI Number | 1477979805
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Entity Type | Organization
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Legal Business Name | COLONIAL HOSPICE CARE, INC.
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Dates
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Enumeration Date | 03/10/2014
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Last Update Date | 03/10/2014
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Provider Practice Location Address
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Address Line | 224 E OLIVE AVE SUITE 218
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City | BURBANK
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State | CA
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Zip | 91502-1239
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Country | US
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Telephone | 818-861-7671
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Fax | 818-861-7670
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Provider Business Mailing Address
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Address Line | 224 E OLIVE AVE SUIT 218
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City | BURBANK
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State | CA
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Zip | 91502-1239
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Country | US
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Telephone | 818-861-7671
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Fax | 818-861-7670
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. GARY ADAMS
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Credential |
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Telephone | 818-861-7671
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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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