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NPI 1669987913

NPI 1669987913 : TENDER LOVING HOSPICE CARE, INC. : MONTEBELLO, CA

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General NPI Number Information
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    NPI Number           |    1669987913
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    Entity Type          |    Organization 
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    Legal Business Name  |    TENDER LOVING HOSPICE CARE, INC. 
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Dates
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    Enumeration Date     |    12/08/2017
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    Last Update Date     |    12/08/2017
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Provider Practice Location Address
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    Address Line         |    3528 W BEVERLY BLVD SUITE D
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    City                 |    MONTEBELLO
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    State                |    CA
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    Zip                  |    90640
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    Country              |    US
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    Telephone            |    323-721-1164
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    Fax                  |    323-721-1165
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Provider Business Mailing Address
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    Address Line         |    3528 W BEVERLY BLVD SUITE D
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    City                 |    MONTEBELLO
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    State                |    CA
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    Zip                  |    90640
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    Country              |    US
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    Telephone            |    323-721-1164
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    Fax                  |    323-721-1165
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Authorized Official
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    Title or Position    |    SECRETARY OF THE BOARD
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    Name                 |     HRIPSIME  MENDELYAN 
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    Credential           |    
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    Telephone            |    323-721-1164
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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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