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NPI 1962077511

NPI 1962077511 : NAZOS HOSPICE CARE, INC. : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1962077511
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    Entity Type          |    Organization 
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    Legal Business Name  |    NAZOS HOSPICE CARE, INC. 
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Dates
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    Enumeration Date     |    05/26/2021
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    Last Update Date     |    05/26/2021
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Provider Practice Location Address
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    Address Line         |    610 S BROADWAY STE 514 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90014-1812
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    Country              |    US
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    Telephone            |    424-204-5308
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    Fax                  |    424-389-7676
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Provider Business Mailing Address
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    Address Line         |    610 S BROADWAY STE 514 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90014-1812
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    Country              |    US
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    Telephone            |    424-204-5308
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    Fax                  |    424-389-7676
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Authorized Official
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    Title or Position    |    OWNER, CEO, CFO, SECRETARY
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    Name                 |    MRS. NAZELI  ALTUNYAN 
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    Credential           |    
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    Telephone            |    424-204-5308
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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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