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General NPI Number Information
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NPI Number | 1568872851
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Entity Type | Organization
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Legal Business Name | FIDELIA HOSPICE, INC.
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Dates
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Enumeration Date | 05/07/2014
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 4210 EAGLE ROCK BLVD. SUITE 201
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City | LOS ANGELES
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State | CA
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Zip | 90065-4543
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Country | US
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Telephone | 562-403-0306
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Fax | 562-332-6175
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Provider Business Mailing Address
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Address Line | 4210 EAGLE ROCK BLVD. SUITE 201
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City | LOS ANGELES
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State | CA
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Zip | 90065-4543
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Country | US
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Telephone | 562-403-0306
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Fax | 562-332-6175
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Authorized Official
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Title or Position | CEO
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Name | MR. AUGUSTO SANTOS
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Credential | CEO
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Telephone | 562-403-0306
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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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