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General NPI Number Information
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NPI Number | 1699648147
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Entity Type | Organization
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Legal Business Name | EXTRA MILE HOSPICE CARE
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 1661 N RAYMOND AVE STE 260
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City | ANAHEIM
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State | CA
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Zip | 92801-1158
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Country | US
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Telephone | 714-932-8931
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Fax | 714-670-7301
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Provider Business Mailing Address
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Address Line | 1661 N RAYMOND AVE STE 260
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City | ANAHEIM
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State | CA
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Zip | 92801-1158
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Country | US
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Telephone | 714-932-8931
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Fax | 714-670-7301
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MARIA TERESA MISA
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Credential |
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Telephone | 714-515-0459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081H0002X
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Taxonomy Name | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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