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General NPI Number Information
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NPI Number | 1578540233
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Entity Type | Organization
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Legal Business Name | ST. MARTIN HOSPICE INC
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Dates
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Enumeration Date | 12/23/2005
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Last Update Date | 06/30/2011
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Provider Practice Location Address
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Address Line | 1925 W TEMPLE ST SUITE 210
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City | LOS ANGELES
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State | CA
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Zip | 90026-4972
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Country | US
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Telephone | 213-413-4629
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Fax | 213-413-7971
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Provider Business Mailing Address
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Address Line | 1925 W TEMPLE ST SUITE 210
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City | LOS ANGELES
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State | CA
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Zip | 90026-4972
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Country | US
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Telephone | 213-413-4629
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Fax | 213-413-7971
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. SHIRLEY BALDOVINO SORIANO
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Credential |
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Telephone | 213-413-4629
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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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