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General NPI Number Information
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NPI Number | 1609287804
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Entity Type | Organization
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Legal Business Name | CITY OF ANGELS HOSPICE CARE
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Dates
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Enumeration Date | 05/11/2014
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Last Update Date | 05/11/2014
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Provider Practice Location Address
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Address Line | 111 GLENDALE BLVD SUITE F
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City | LOS ANGELES
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State | CA
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Zip | 90026-5825
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Country | US
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Telephone | 818-524-8605
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Fax |
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Provider Business Mailing Address
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Address Line | 111 GLENDALE BLVD SUITE F
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City | LOS ANGELES
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State | CA
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Zip | 90026-5825
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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 | CEO
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Name | MR. TARON OGANYAN
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Credential |
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Telephone | 818-524-8605
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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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