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General NPI Number Information
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NPI Number | 1902017684
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Entity Type | Organization
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Legal Business Name | COMMUNITY HOSPICE SERVICES, INC.
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 12/19/2007
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Provider Practice Location Address
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Address Line | 8273 WHITE OAK AVE SUITE 120
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-7671
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Country | US
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Telephone | 909-477-6795
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Fax | 909-477-6794
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Provider Business Mailing Address
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Address Line | 8273 WHITE OAK AVE SUITE 120
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-7671
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Country | US
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Telephone | 909-477-6795
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Fax | 909-477-6794
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. ZENAIDA QUINONES HAPA-BROWN
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Credential | RN
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Telephone | 909-477-6795
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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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