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General NPI Number Information
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NPI Number | 1598366841
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Entity Type | Organization
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Legal Business Name | EVERCLEAR HOSPICE AND PALLIATIVE CARE, INC.
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Dates
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Enumeration Date | 11/03/2020
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 25835 NARBONNE AVE STE 277
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City | LOMITA
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State | CA
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Zip | 90717-3074
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Country | US
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Telephone | 310-894-9401
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Fax |
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Provider Business Mailing Address
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Address Line | 25835 NARBONNE AVE STE 277
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City | LOMITA
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State | CA
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Zip | 90717-3074
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Country | US
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Telephone | 424-600-9227
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Fax | 424-600-8468
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Authorized Official
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Title or Position | CEO
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Name | MELBA MILITANTE
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Credential |
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Telephone | 714-932-2588
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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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