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General NPI Number Information
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NPI Number | 1720432859
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE HOSPICE INC
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Dates
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Enumeration Date | 04/14/2016
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Last Update Date | 09/28/2022
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Provider Practice Location Address
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Address Line | 16830 VENTURA BLVD STE 300
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City | ENCINO
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State | CA
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Zip | 91436-1715
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Country | US
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Telephone | 805-520-6074
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Fax | 818-488-9275
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Provider Business Mailing Address
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Address Line | 16830 VENTURA BLVD STE 300
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City | ENCINO
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State | CA
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Zip | 91436-1715
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Country | US
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Telephone | 805-520-6074
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Fax | 818-488-9275
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Authorized Official
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Title or Position | OWNER
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Name | MARIAN MIRANDA
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Credential |
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Telephone | 310-462-5025
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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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