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General NPI Number Information
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NPI Number | 1659780716
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Entity Type | Organization
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Legal Business Name | STARLIGHT HOSPICE INC
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Dates
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Enumeration Date | 08/03/2014
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 738 N EUCLID AVE
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City | ONTARIO
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State | CA
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Zip | 91762-2712
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Country | US
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Telephone | 951-663-2257
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Fax | 909-399-3605
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Provider Business Mailing Address
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Address Line | 4959 PALO VERDE ST STE 102B
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City | MONTCLAIR
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State | CA
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Zip | 91763-2339
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Country | US
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Telephone | 909-399-3600
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Fax | 909-399-3605
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Authorized Official
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Title or Position | REPRESENTATIVE
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Name | VIVIAN GONZALES
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Credential |
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Telephone | 909-399-3600
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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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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 550002977
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License Number State | CA
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