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General NPI Number Information
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NPI Number | 1740845346
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Entity Type | Organization
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Legal Business Name | DIRECT HOSPICE CARE, INC.
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Dates
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Enumeration Date | 05/08/2019
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | 11700 DUBLIN BLVD STE 100
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City | DUBLIN
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State | CA
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Zip | 94568-2824
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Country | US
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Telephone | 925-364-7342
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Fax | 669-500-7411
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Provider Business Mailing Address
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Address Line | 4701 PATRICK HENRY DR STE M
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City | SANTA CLARA
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State | CA
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Zip | 95054-1819
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Country | US
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Telephone | 669-400-1137
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Fax | 669-500-7411
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Authorized Official
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Title or Position | CEO
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Name | MR. BENJAMIN ART
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Credential |
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Telephone | 669-400-1137
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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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