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General NPI Number Information
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NPI Number | 1588158893
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Entity Type | Organization
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Legal Business Name | LIFE HOSPICE, INC.
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Dates
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Enumeration Date | 06/20/2018
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 5101 E LA PALMA AVE STE 100P
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City | ANAHEIM
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State | CA
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Zip | 92807-2056
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Country | US
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Telephone | 714-464-2018
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Fax | 714-333-4447
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Provider Business Mailing Address
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Address Line | 11033 COHASSET ST
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City | SUN VALLEY
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State | CA
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Zip | 91352-4702
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Country | US
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Telephone | 747-202-8430
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Fax | 714-333-4447
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Authorized Official
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Title or Position | CEO/OWNER
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Name | APRINE MELIKYAN
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Credential |
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Telephone | 747-202-8430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | CA
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