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General NPI Number Information
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NPI Number | 1528144920
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Entity Type | Organization
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Legal Business Name | ASIAN NETWORK HOSPICE
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 01/23/2013
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Provider Practice Location Address
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Address Line | 212 9TH ST STE 204
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City | OAKLAND
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State | CA
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Zip | 94607-4428
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Country | US
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Telephone | 510-268-1118
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Fax | 510-268-9905
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Provider Business Mailing Address
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Address Line | 212 9TH ST STE 204
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City | OAKLAND
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State | CA
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Zip | 94607-4428
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Country | US
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Telephone | 510-268-1118
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Fax | 510-268-9905
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Authorized Official
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Title or Position | FINANCIAL OFFICER
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Name | MS. IVY Y KWONG
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Credential | PT,DPT,MPA
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Telephone | 510-268-1118
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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 | 070000628
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License Number State | CA
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