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General NPI Number Information
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NPI Number | 1639484678
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Entity Type | Organization
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Legal Business Name | GRACEFUL PALMS HOSPICE AND PALLIATIVE CARE CORP
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Dates
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Enumeration Date | 08/14/2010
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Last Update Date | 05/07/2021
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Provider Practice Location Address
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Address Line | 38700 5TH ST W STE G
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City | PALMDALE
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State | CA
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Zip | 93551-3996
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Country | US
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Telephone | 661-538-1435
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Fax | 661-538-0956
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Provider Business Mailing Address
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Address Line | 38700 5TH ST W STE G
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City | PALMDALE
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State | CA
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Zip | 93551-3996
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Country | US
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Telephone | 661-538-1435
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Fax | 661-538-0956
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Authorized Official
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Title or Position | CEO
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Name | MISS JAQUELINE ARABIAN
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Credential |
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Telephone | 661-538-1435
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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 | 1639484678
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License Number State | CA
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