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General NPI Number Information
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NPI Number | 1518962083
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Entity Type | Organization
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Legal Business Name | HOSPICE OF SAN JOAQUIN
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 3888 PACIFIC AVE
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City | STOCKTON
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State | CA
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Zip | 95204-1953
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Country | US
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Telephone | 209-957-3888
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Fax | 209-957-3986
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Provider Business Mailing Address
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Address Line | 3888 PACIFIC AVE
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City | STOCKTON
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State | CA
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Zip | 95204-1953
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Country | US
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Telephone | 209-957-3888
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Fax | 209-922-0390
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. BARBARA TOGNOLI
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Credential |
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Telephone | 209-957-3888
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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 | 100000706
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License Number State | CA
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