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General NPI Number Information
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NPI Number | 1699317388
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Entity Type | Organization
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Legal Business Name | SAINT LAURA PALLIATIVE AND HOSPICE CARE INC.
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Dates
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Enumeration Date | 10/14/2019
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Last Update Date | 10/14/2019
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Provider Practice Location Address
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Address Line | 271 E WORKMAN ST STE 200
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City | COVINA
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State | CA
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Zip | 91723-3549
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Country | US
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Telephone | 626-364-7534
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Fax | 626-364-7561
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Provider Business Mailing Address
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Address Line | 271 E WORKMAN ST STE 200
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City | COVINA
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State | CA
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Zip | 91723-3549
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Country | US
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Telephone | 626-364-7534
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Fax | 626-364-7561
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. LILIBETH SAN GABRIEL
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Credential | RN
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Telephone | 909-684-7410
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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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