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General NPI Number Information
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NPI Number | 1861086845
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Entity Type | Organization
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Legal Business Name | VIRTUOUS PALLIATIVE & HOSPICE INC.
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Dates
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Enumeration Date | 02/21/2021
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Last Update Date | 08/11/2021
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Provider Practice Location Address
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Address Line | 15051 LEFFINGWELL RD STE 105
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City | WHITTIER
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State | CA
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Zip | 90604-2100
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Country | US
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Telephone | 562-903-0046
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Fax | 562-903-0087
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Provider Business Mailing Address
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Address Line | 15051 LEFFINGWELL RD STE 105
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City | WHITTIER
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State | CA
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Zip | 90604-2100
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Country | US
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Telephone | 562-903-0046
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Fax | 562-903-0087
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Authorized Official
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Title or Position | CEO
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Name | MR. MARK AGBUNAG DINO
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Credential |
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Telephone | 213-308-3596
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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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