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General NPI Number Information
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NPI Number | 1972831162
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Entity Type | Organization
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Legal Business Name | ETERNALLY YOURS HOSPICE, INC.
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Dates
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Enumeration Date | 11/26/2009
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Last Update Date | 01/27/2014
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Provider Practice Location Address
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Address Line | 2550 E. AMAR RD. UNIT A1-G
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City | WEST COVINA
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State | CA
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Zip | 91792
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Country | US
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Telephone | 626-965-4200
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Fax | 626-965-4200
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Provider Business Mailing Address
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Address Line | 2550 E. AMAR RD. UNIT A1-G
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City | WEST COVINA
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State | CA
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Zip | 91792
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Country | US
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Telephone | 626-965-4200
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Fax | 626-965-4230
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MRS. CRISTINE S ZAPANTA-CHAVEZ
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Credential |
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Telephone | 818-223-9283
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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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