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General NPI Number Information
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NPI Number | 1518401918
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Entity Type | Organization
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Legal Business Name | HOSPICE CARE OF AMERICA, LLC
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Dates
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Enumeration Date | 12/05/2016
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Last Update Date | 03/12/2020
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Provider Practice Location Address
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Address Line | 2401 E KATELLA AVE STE 440
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City | ANAHEIM
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State | CA
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Zip | 92806-5982
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Country | US
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Telephone | 714-983-9202
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Fax |
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Provider Business Mailing Address
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Address Line | 10 CADILLAC DR STE 400
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City | BRENTWOOD
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State | TN
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Zip | 37027-1001
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Country | US
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Telephone | 615-377-7022
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Fax |
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Authorized Official
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Title or Position | SVP GENERAL COUNSEL
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Name | RUSSELL G ADKINS
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Credential |
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Telephone | 615-224-8028
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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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