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General NPI Number Information
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NPI Number | 1528467412
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Entity Type | Organization
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Legal Business Name | HOSPICE SPECTRUM LANCASTER
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Dates
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Enumeration Date | 08/18/2014
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Last Update Date | 08/18/2014
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Provider Practice Location Address
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Address Line | 566 W LANCASTER BLVD SUITE 10
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City | LANCASTER
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State | CA
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Zip | 93534-2563
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Country | US
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Telephone | 661-886-5391
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Fax | 877-720-2602
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Provider Business Mailing Address
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Address Line | 596 N LAKE AVE 2ND FLOOR
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City | PASADENA
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State | CA
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Zip | 91101-1455
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GINA CASTROMAYOR
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Credential |
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Telephone | 626-818-6456
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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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