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General NPI Number Information
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NPI Number | 1811422751
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Entity Type | Organization
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Legal Business Name | MINDFULCARE HOSPICE AND PALLIATIVE SERVVICES
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Dates
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Enumeration Date | 04/28/2017
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Last Update Date | 05/05/2017
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Provider Practice Location Address
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Address Line | 4047 1ST ST STE 107
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City | LIVERMORE
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State | CA
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Zip | 94551-1462
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Country | US
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Telephone | 925-218-8900
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Fax | 925-271-5141
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Provider Business Mailing Address
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Address Line | 4047 1ST ST STE 107
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City | LIVERMORE
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State | CA
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Zip | 94551-1462
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Country | US
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Telephone | 925-218-8900
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Fax | 925-271-5141
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Authorized Official
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Title or Position | ADMINISTRATOR, CEO
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Name | MISS MARUSKA SANCHEZ
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Credential | RN, MSN, FNP
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Telephone | 925-218-8900
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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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