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General NPI Number Information
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NPI Number | 1730206038
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Entity Type | Organization
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Legal Business Name | FIVE STAR HOME HOSPICE, INC.
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 04/30/2013
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Provider Practice Location Address
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Address Line | 1028 N LAKE AVE STE 106
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City | PASADENA
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State | CA
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Zip | 91104-4570
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Country | US
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Telephone | 626-791-1764
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Fax | 626-791-5362
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Provider Business Mailing Address
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Address Line | 1028 N LAKE AVE STE 106
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City | PASADENA
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State | CA
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Zip | 91104-4570
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Country | US
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Telephone | 626-791-1764
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Fax | 626-791-5362
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Authorized Official
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Title or Position | PRESIDENT
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Name | EBRUY K ARABYAN
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Credential |
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Telephone | 626-791-1764
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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 | NON YET
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License Number State | CA
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