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General NPI Number Information
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NPI Number | 1679806418
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Entity Type | Organization
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Legal Business Name | ST MICHAEL HOSPICE CARE INC
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Dates
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Enumeration Date | 09/11/2009
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Last Update Date | 09/11/2009
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Provider Practice Location Address
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Address Line | 24248 CRENSHAW BLVD SUITE 213
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City | TORRANCE
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State | CA
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Zip | 90505-5340
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Country | US
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Telephone | 310-357-8867
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Fax | 424-772-1577
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Provider Business Mailing Address
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Address Line | 24248 CRENSHAW BLVD SUITE 213
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City | TORRANCE
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State | CA
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Zip | 90505-5340
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Country | US
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Telephone | 310-357-8867
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Fax | 424-772-1577
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Authorized Official
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Title or Position | PRESIDENT/ADMINISTRATOR
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Name | NORMA SALVATERA AURELIO
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Credential | M.D.
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Telephone | 310-357-8867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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