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NPI 1831725027

NPI 1831725027 : SUNNY HOSPICE CARE INC : LA CRESCENTA, CA

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General NPI Number Information
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    NPI Number           |    1831725027
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    Entity Type          |    Organization 
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    Legal Business Name  |    SUNNY HOSPICE CARE INC 
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Dates
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    Enumeration Date     |    03/19/2020
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    Last Update Date     |    06/14/2022
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Provider Practice Location Address
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    Address Line         |    3916 FOOTHILL BLVD STE C 
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    City                 |    LA CRESCENTA
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    State                |    CA
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    Zip                  |    91214-1677
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    Country              |    US
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    Telephone            |    747-255-7157
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    Fax                  |    747-255-7357
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Provider Business Mailing Address
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    Address Line         |    3916 FOOTHILL BLVD STE C 
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    City                 |    LA CRESCENTA
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    State                |    CA
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    Zip                  |    91214-1677
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    Country              |    US
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    Telephone            |    747-255-7157
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    Fax                  |    747-255-7357
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     ARTASHES  AVAGIMYAN 
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    Credential           |    
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    Telephone            |    818-582-3019
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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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