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General NPI Number Information
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NPI Number | 1497353817
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Entity Type | Organization
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Legal Business Name | SPRING HOPE HOSPICE, INC.
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Dates
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Enumeration Date | 10/16/2020
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Last Update Date | 03/21/2022
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Provider Practice Location Address
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Address Line | 17326 EDWARDS RD STE A225
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City | CERRITOS
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State | CA
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Zip | 90703-2443
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Country | US
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Telephone | 562-404-8883
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Fax | 562-404-8884
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Provider Business Mailing Address
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Address Line | 17326 EDWARDS RD STE A225
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City | CERRITOS
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State | CA
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Zip | 90703-2443
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Country | US
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Telephone | 562-404-8883
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Fax | 562-404-8884
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | HERMAWAN DJUHANA
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Credential |
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Telephone | 213-361-2888
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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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