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General NPI Number Information
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NPI Number | 1538058482
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Entity Type | Organization
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Legal Business Name | ELI EZRA HOSPICE INC
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 221 E WALNUT ST STE 276
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City | PASADENA
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State | CA
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Zip | 91101-6001
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Country | US
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Telephone | 626-298-6198
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Fax | 626-800-0113
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Provider Business Mailing Address
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Address Line | 221 E WALNUT ST STE 276
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City | PASADENA
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State | CA
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Zip | 91101-6001
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Country | US
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Telephone | 626-298-6198
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Fax | 626-800-0113
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Authorized Official
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Title or Position | CEO
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Name | OHANNES GEORGIAN
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Credential |
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Telephone | 626-298-6198
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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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