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General NPI Number Information
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NPI Number | 1669003570
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Entity Type | Organization
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Legal Business Name | AMBASSADORE HOSPICE CARE, INC.
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Dates
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Enumeration Date | 01/29/2020
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Last Update Date | 11/04/2021
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Provider Practice Location Address
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Address Line | 17100 PIONEER BLVD STE 270
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City | ARTESIA
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State | CA
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Zip | 90701-2736
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Country | US
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Telephone | 562-505-2560
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Fax |
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Provider Business Mailing Address
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Address Line | 17100 PIONEER BLVD STE 270
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City | ARTESIA
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State | CA
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Zip | 90701-2736
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Country | US
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Telephone | 562-991-3213
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Fax | 562-286-8989
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Authorized Official
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Title or Position | CEO
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Name | EMMALYN VANO ALCANTARA
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Credential |
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Telephone | 562-991-3213
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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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