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General NPI Number Information
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NPI Number | 1912057548
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Entity Type | Organization
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Legal Business Name | FAITH CARE HOSPICE, INC.
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 04/17/2008
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Provider Practice Location Address
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Address Line | 599 S BARRANCA AVE SUITE 222
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City | COVINA
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State | CA
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Zip | 91723-2777
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Country | US
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Telephone | 626-858-4795
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Fax | 626-858-4668
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Provider Business Mailing Address
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Address Line | 599 S BARRANCA AVE SUITE 222
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City | COVINA
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State | CA
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Zip | 91723-2777
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Country | US
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Telephone | 626-858-4795
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Fax | 626-858-4668
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Authorized Official
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Title or Position | PRESIDENT
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Name | EMMANUEL CHARLES AZARIAH
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Credential |
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Telephone | 626-862-3355
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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 | CA
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