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General NPI Number Information
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NPI Number | 1760262117
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Entity Type | Organization
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Legal Business Name | ADMIRAL HOSPICE HEALTH CARE, INC.
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Dates
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Enumeration Date | 10/03/2023
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 4010 WATSON PLAZA DRIVE SUITE 120
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City | LAKEWOOD
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State | CA
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Zip | 90712-4035
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Country | US
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Telephone | 562-429-1500
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Fax | 562-429-1599
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Provider Business Mailing Address
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Address Line | 4010 WATSON PLAZA DRIVE SUITE 120
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City | LAKEWOOD
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State | CA
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Zip | 90712-4035
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Country | US
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Telephone | 562-429-1500
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Fax | 562-429-1599
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Authorized Official
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Title or Position | PRES/CEO
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Name | KAMRAN JAHANGARD MAHBOOB
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Credential |
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Telephone | 818-652-8297
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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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