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General NPI Number Information
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NPI Number | 1659674547
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Entity Type | Organization
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Legal Business Name | HIGH QUALITY HOSPICE CARE
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Dates
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Enumeration Date | 12/15/2010
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Last Update Date | 03/23/2015
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Provider Practice Location Address
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Address Line | 21707 HAWTHORNE BLVD SUITE 304
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City | TORRANCE
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State | CA
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Zip | 90503-7009
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Country | US
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Telephone | 310-543-4679
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Fax | 310-543-4690
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Provider Business Mailing Address
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Address Line | 21707 HAWTHORNE BLVD SUITE 304
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City | TORRANCE
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State | CA
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Zip | 90503-7009
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Country | US
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Telephone | 310-543-4679
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Fax | 310-543-4690
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Authorized Official
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Title or Position | ADM/DPCS
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Name | MRS. ELIZABETH L LAGLEVA
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Credential | RN
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Telephone | 310-543-4679
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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 | 550001759
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License Number State | CA
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