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General NPI Number Information
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NPI Number | 1578831129
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Entity Type | Organization
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Legal Business Name | ARBOR VITAE HOSPICE CARE, INC.
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Dates
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Enumeration Date | 12/12/2011
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Last Update Date | 09/29/2020
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Provider Practice Location Address
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Address Line | 1780 TOWN AND COUNTRY DR STE 106
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City | NORCO
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State | CA
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Zip | 92860-3618
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Country | US
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Telephone | 951-735-3485
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Fax | 951-735-0900
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Provider Business Mailing Address
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Address Line | 802 MAGNOLIA AVE STE. 106
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City | CORONA
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State | CA
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Zip | 92879-3125
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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 | MEDICAL DIRECTOR
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Name | DR. FARO T. OWIESY
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Credential | M.D
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Telephone | 951-907-8111
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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 | CA
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