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General NPI Number Information
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NPI Number | 1881900710
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Entity Type | Organization
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Legal Business Name | GMC PROFESSIONAL HOSPICE CARE, INC.
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Dates
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Enumeration Date | 08/30/2010
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 1 N INDIAN HILL BLVD STE 205
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City | CLAREMONT
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State | CA
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Zip | 91711-4769
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Country | US
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Telephone | 909-469-2888
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Fax | 909-469-1777
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Provider Business Mailing Address
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Address Line | 1 N INDIAN HILL BLVD STE 205
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City | CLAREMONT
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State | CA
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Zip | 91711-4769
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Country | US
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Telephone | 909-469-2888
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Fax | 909-469-1777
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAMON ALAN TANCUNGCO DE LEON
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Credential |
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Telephone | 909-989-1230
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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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