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General NPI Number Information
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NPI Number | 1780134981
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Entity Type | Organization
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Legal Business Name | DIVINITY HOSPICE
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Dates
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Enumeration Date | 10/11/2016
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Last Update Date | 11/28/2021
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Provider Practice Location Address
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Address Line | 2130 CHESTER AVE STE 102
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City | BAKERSFIELD
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State | CA
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Zip | 93301-4472
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Country | US
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Telephone | 866-987-5373
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Fax | 866-987-5374
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Provider Business Mailing Address
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Address Line | 2130 CHESTER AVE STE 102
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City | BAKERSFIELD
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State | CA
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Zip | 93301-4472
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Country | US
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Telephone | 866-987-5373
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Fax | 866-987-5374
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Authorized Official
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Title or Position | MSN, RN, FNP/ CEO
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Name | MR. ARBI YAGHOUBI MASIHI
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Credential |
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Telephone | 866-987-5373
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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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