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General NPI Number Information
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NPI Number | 1568420974
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Entity Type | Organization
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Legal Business Name | COMPANION HOSPICE CARE, LLC
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 12/30/2008
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Provider Practice Location Address
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Address Line | 8130 FLORENCE AVE SUITE 200
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City | DOWNEY
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State | CA
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Zip | 90240-3938
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Country | US
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Telephone | 562-944-2711
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Fax | 562-944-2751
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Provider Business Mailing Address
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Address Line | 8130 FLORENCE AVE SUITE 200
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City | DOWNEY
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State | CA
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Zip | 90240-3938
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Country | US
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Telephone | 562-944-2711
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Fax | 562-944-2751
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. TERRY FERENCIK
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Credential | RN
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Telephone | 562-944-2711
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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 | 980001370
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License Number State | CA
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