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General NPI Number Information
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NPI Number | 1770933160
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Entity Type | Organization
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Legal Business Name | HOPE HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 06/16/2016
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Last Update Date | 06/16/2016
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Provider Practice Location Address
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Address Line | 6600 JURUPA AVE SUITE 214E
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City | RIVERSIDE
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State | CA
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Zip | 92504-1041
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Country | US
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Telephone | 626-864-6871
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Fax | 951-346-5520
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Provider Business Mailing Address
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Address Line | 6600 JURUPA AVE SUITE 214E
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City | RIVERSIDE
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State | CA
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Zip | 92504-1041
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Country | US
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Telephone | 626-864-6871
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Fax | 951-346-5520
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Authorized Official
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Title or Position | CEO
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Name | MS. JOSEPHINE CRISOSTOMO
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Credential | RN
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Telephone | 626-864-6871
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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 | 201423010063
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License Number State | CA
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