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General NPI Number Information
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NPI Number | 1811200553
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Entity Type | Organization
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Legal Business Name | SANTA YEKATERINA HOSPICE, INC.
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Dates
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Enumeration Date | 07/22/2010
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Last Update Date | 12/22/2015
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Provider Practice Location Address
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Address Line | 5958 VINELAND AVE. SUITE J
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91601-1329
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Country | US
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Telephone | 818-623-8888
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Fax | 818-623-0808
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Provider Business Mailing Address
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Address Line | 5958 VINELAND AVE. SUITE J
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91601-1329
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Country | US
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Telephone | 818-623-8888
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Fax | 818-623-0808
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MR. DANTES VALENZUELA
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Credential |
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Telephone | 818-623-8888
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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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Taxonomy #2
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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 | CA
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