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General NPI Number Information
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NPI Number | 1881209039
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Entity Type | Organization
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Legal Business Name | HOSPICE OF LOVE AND CARE GROUP INC
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Dates
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Enumeration Date | 09/14/2020
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Last Update Date | 09/14/2020
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Provider Practice Location Address
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Address Line | 18344 OXNARD ST STE 208
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City | TARZANA
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State | CA
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Zip | 91356-6777
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Country | US
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Telephone | 818-900-3433
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Fax |
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Provider Business Mailing Address
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Address Line | 18344 OXNARD ST STE 208
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City | TARZANA
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State | CA
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Zip | 91356-6777
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Country | US
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Telephone | 818-900-3433
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANZHELA ELMEZYAN
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Credential |
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Telephone | 310-666-2392
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number |
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License Number State |
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