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General NPI Number Information
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NPI Number | 1891314837
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Entity Type | Organization
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Legal Business Name | AMERICAN GUARDIAN HOSPICE CARE INC
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Dates
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Enumeration Date | 04/09/2020
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Last Update Date | 10/28/2022
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Provider Practice Location Address
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Address Line | 1050 OPPORTUNITY DR STE 150
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City | ROSEVILLE
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State | CA
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Zip | 95678-3033
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Country | US
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Telephone | 916-474-5886
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Fax | 916-474-4820
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Provider Business Mailing Address
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Address Line | 1050 OPPORTUNITY DR STE 150
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City | ROSEVILLE
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State | CA
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Zip | 95678-3033
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Country | US
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Telephone | 916-474-5886
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Fax | 916-474-4820
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Authorized Official
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Title or Position | OWNER
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Name | MARIAN MIRANDA
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Credential |
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Telephone | 818-925-8225
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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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