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General NPI Number Information
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NPI Number | 1922665991
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Entity Type | Organization
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Legal Business Name | UMBRELLA HOSPICE, INC
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Dates
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Enumeration Date | 05/23/2019
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Last Update Date | 09/29/2022
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Provider Practice Location Address
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Address Line | 4221 WILSHIRE BLVD STE 170-14
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City | LOS ANGELES
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State | CA
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Zip | 90010-3519
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Country | US
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Telephone | 323-272-3648
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Fax | 323-272-3680
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Provider Business Mailing Address
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Address Line | 4221 WILSHIRE BLVD STE 170-14
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City | LOS ANGELES
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State | CA
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Zip | 90010-3519
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Country | US
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Telephone | 323-272-3648
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Fax | 323-272-3680
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SOJUNG SUK
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Credential | AGNP-PC
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Telephone | 323-272-3648
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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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