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General NPI Number Information
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NPI Number | 1881216885
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Entity Type | Organization
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Legal Business Name | BRIGHTSTAR HOSPICE, INC.
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Dates
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Enumeration Date | 05/12/2020
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 120 N VICTORY BLVD STE 304
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City | BURBANK
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State | CA
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Zip | 91502-0001
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Country | US
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Telephone | 818-921-6050
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Fax | 818-457-9603
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Provider Business Mailing Address
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Address Line | 120 N VICTORY BLVD STE 304
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City | BURBANK
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State | CA
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Zip | 91502-0001
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Country | US
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Telephone | 818-921-6050
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Fax | 818-457-9603
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Authorized Official
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Title or Position | CEO/CFO
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Name | HAKOB JACOB KHACHATRYAN
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Credential |
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Telephone | 818-921-6050
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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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