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General NPI Number Information
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NPI Number | 1659936292
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Entity Type | Organization
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Legal Business Name | NH SKILLED HOSPICE, INC.
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Dates
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Enumeration Date | 05/09/2019
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Last Update Date | 05/12/2021
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Provider Practice Location Address
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Address Line | 10523 BURBANK BLVD. 215
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91601-2245
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Country | US
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Telephone | 818-294-1493
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Fax | 818-688-8187
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Provider Business Mailing Address
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Address Line | 444 IRVING DRIVE SUITE 201A
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City | BURBANK
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State | CA
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Zip | 91504-2415
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Country | US
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Telephone | 818-294-1493
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Fax | 818-688-8187
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Authorized Official
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Title or Position | CEO
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Name | MR. SAMVEL AGAZARYAN
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Credential |
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Telephone | 818-294-1493
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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