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General NPI Number Information
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NPI Number | 1588338156
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Entity Type | Organization
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Legal Business Name | PERPETUAL SUCCOUR HOSPICE
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Dates
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Enumeration Date | 08/05/2021
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Last Update Date | 08/14/2021
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Provider Practice Location Address
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Address Line | 520 N BROOKHURST ST STE 123G
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City | ANAHEIM
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State | CA
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Zip | 92801-5233
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Country | US
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Telephone | 949-482-4206
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Fax | 949-359-5259
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Provider Business Mailing Address
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Address Line | 520 N BROOKHURST ST STE 123G
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City | ANAHEIM
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State | CA
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Zip | 92801-5233
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Country | US
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Telephone | 949-482-4206
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Fax | 949-359-5259
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Authorized Official
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Title or Position | CEO
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Name | APRIL VILLA TUMAKAY
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Credential |
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Telephone | 949-482-4206
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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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