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NPI 1952911703

NPI 1952911703 : AK CARE HOSPICE : BURBANK, CA

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General NPI Number Information
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    NPI Number           |    1952911703
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    Entity Type          |    Organization 
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    Legal Business Name  |    AK CARE HOSPICE 
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Dates
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    Enumeration Date     |    08/06/2020
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    Last Update Date     |    08/10/2020
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Provider Practice Location Address
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    Address Line         |    303 N GLENOAKS BLVD # 212 
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    City                 |    BURBANK
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    State                |    CA
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    Zip                  |    91502-1116
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    Country              |    US
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    Telephone            |    747-248-7008
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    Fax                  |    323-544-6816
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Provider Business Mailing Address
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    Address Line         |    303 N GLENOAKS BLVD # 212 
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    City                 |    BURBANK
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    State                |    CA
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    Zip                  |    91502-1116
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    Country              |    US
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    Telephone            |    747-248-7008
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    Fax                  |    323-544-6816
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Authorized Official
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    Title or Position    |    CEO/ADMIN
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    Name                 |     ARTYOM A MANUKYAN 
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    Credential           |    
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    Telephone            |    747-248-7008
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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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