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General NPI Number Information
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NPI Number | 1841866829
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Entity Type | Organization
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Legal Business Name | HEELAS HOSPICE INC
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Dates
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Enumeration Date | 06/01/2021
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Last Update Date | 06/01/2021
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Provider Practice Location Address
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Address Line | 2777 ALVARADO ST STE A
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City | SAN LEANDRO
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State | CA
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Zip | 94577-5701
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Country | US
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Telephone | 510-684-4042
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Fax | 510-244-2401
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Provider Business Mailing Address
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Address Line | 2777 ALVARADO ST STE A
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City | SAN LEANDRO
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State | CA
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Zip | 94577-5701
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Country | US
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Telephone | 510-684-4042
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Fax | 510-244-2401
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Authorized Official
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Title or Position | OWNER/INCORPORATOR
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Name | UCHECHI ESOMONU
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Credential | RN
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Telephone | 510-684-4042
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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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