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General NPI Number Information
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NPI Number | 1922377878
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Entity Type | Organization
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Legal Business Name | ALTA CARE HOSPICE INC
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Dates
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Enumeration Date | 12/22/2011
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Last Update Date | 05/30/2023
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Provider Practice Location Address
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Address Line | 9029 RESEDA BLVD STE 207
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City | NORTHRIDGE
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State | CA
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Zip | 91324-3932
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Country | US
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Telephone | 818-635-9639
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Fax | 818-635-9639
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Provider Business Mailing Address
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Address Line | 7100 HAYVENHURST AVE STE 202
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City | VAN NUYS
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State | CA
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Zip | 91406-3844
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Country | US
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Telephone | 818-998-2582
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Fax | 818-635-9639
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Authorized Official
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Title or Position | CEO
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Name | MR. ROGER RAMOS SORIANO
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Credential |
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Telephone | 818-635-9639
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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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