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NPI 1962026211

NPI 1962026211 : SILVER CITY HOSPICE AND PALLIATIVE CARE : BURBANK, CA

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General NPI Number Information
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    NPI Number           |    1962026211
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    Entity Type          |    Organization 
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    Legal Business Name  |    SILVER CITY HOSPICE AND PALLIATIVE CARE 
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Dates
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    Enumeration Date     |    06/02/2020
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    Last Update Date     |    10/21/2024
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Provider Practice Location Address
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    Address Line         |    121 S GLENOAKS BLVD STE 1A 
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    City                 |    BURBANK
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    State                |    CA
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    Zip                  |    91502-1603
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    Country              |    US
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    Telephone            |    747-301-3555
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    Fax                  |    747-301-3434
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Provider Business Mailing Address
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    Address Line         |    121 S GLENOAKS BLVD STE 1A 
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    City                 |    BURBANK
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    State                |    CA
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    Zip                  |    91502-1603
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    Country              |    US
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    Telephone            |    747-301-3555
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    Fax                  |    747-301-3434
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     SONYA  ABRAHAMYAN 
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    Credential           |    
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    Telephone            |    747-301-3555
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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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