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General NPI Number Information
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NPI Number | 1831485408
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Entity Type | Organization
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Legal Business Name | EMMANUEL HOSPICE INC
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Dates
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Enumeration Date | 06/22/2011
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Last Update Date | 07/07/2021
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Provider Practice Location Address
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Address Line | 4640 LANKERSHIM BLVD STE 110
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91602-1848
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Country | US
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Telephone | 187-632-7288
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Fax | 888-453-0513
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Provider Business Mailing Address
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Address Line | 4640 LANKERSHIM BLVD STE 110
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91602-1848
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Country | US
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Telephone | 818-763-2728
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Fax | 888-453-0513
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Authorized Official
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Title or Position | CEO
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Name | MR. GOR ADAMYAN
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Credential |
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Telephone | 818-763-2728
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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 | 0002563036-0001-3
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License Number State | CA
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