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General NPI Number Information
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NPI Number | 1588722771
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Entity Type | Organization
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Legal Business Name | GRACE HOSPICE INC
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1711 W TEMPLE ST SUITE # 3614
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City | LOS ANGELES
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State | CA
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Zip | 90026-5421
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Country | US
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Telephone | 213-989-1600
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Fax | 213-989-1626
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Provider Business Mailing Address
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Address Line | 1711 W TEMPLE ST SUITE # 3614
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City | LOS ANGELES
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State | CA
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Zip | 90026-5421
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Country | US
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Telephone | 213-989-1600
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Fax | 213-989-1626
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | DR. SEUNG HO CHOI
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Credential | M.D.
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Telephone | 213-989-1600
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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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