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General NPI Number Information
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NPI Number | 1518308071
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Entity Type | Organization
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Legal Business Name | SERENITY HOSPICE GROUP INC
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Dates
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Enumeration Date | 07/12/2013
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Last Update Date | 03/19/2019
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Provider Practice Location Address
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Address Line | 17100 NORWALK BLVD STE 110
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City | CERRITOS
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State | CA
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Zip | 90703-2750
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Country | US
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Telephone | 562-548-2440
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Fax | 562-548-3947
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Provider Business Mailing Address
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Address Line | 17100 NORWALK BLVD STE 110
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City | CERRITOS
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State | CA
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Zip | 90703-2750
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Country | US
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Telephone | 562-548-2440
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Fax | 562-548-3947
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MR. RAYMUNDO P AJOC
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Credential |
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Telephone | 562-548-2440
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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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