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General NPI Number Information
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NPI Number | 1780973024
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Entity Type | Organization
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Legal Business Name | VITAS HEALTH SERVICES OF CALIFORNIA INC
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Dates
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Enumeration Date | 04/06/2011
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Last Update Date | 04/22/2022
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Provider Practice Location Address
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Address Line | 1343 N GRAND AVE SUITE 100
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City | COVINA
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State | CA
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Zip | 91724-4020
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Country | US
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Telephone | 877-868-4827
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Fax | 877-283-0663
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Provider Business Mailing Address
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Address Line | 1343 N GRAND AVE SUITE 100
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City | COVINA
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State | CA
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Zip | 91724-4020
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Country | US
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Telephone | 877-868-4827
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Fax | 877-283-0663
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Authorized Official
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Title or Position | CEO
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Name | NICHOLAS M WESTFALL
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Credential |
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Telephone | 513-618-2230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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