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General NPI Number Information
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NPI Number | 1508172289
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Entity Type | Organization
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Legal Business Name | SIERRA HOSPICE CARE,INC.
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Dates
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Enumeration Date | 08/19/2010
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Last Update Date | 08/19/2010
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Provider Practice Location Address
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Address Line | 1063 N. CHICAGO ST. SUITE # 202
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City | LOS ANGELES
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State | CA
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Zip | 90033-1353
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Country | US
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Telephone | 323-223-8582
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Fax | 323-223-8592
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Provider Business Mailing Address
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Address Line | 1063 N. CHICAGO ST.#202
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City | LOS ANGELES
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State | CA
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Zip | 90033-1353
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Country | US
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Telephone | 323-223-8582
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Fax | 323-223-8592
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Authorized Official
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Title or Position | CEO/ADMINISTRATOR
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Name | MS. YOUNG SIM PARK
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Credential | REGISTERED NURSE
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Telephone | 323-223-8582
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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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