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NPI 1982271037

NPI 1982271037 : CALPACIFIC HOSPICE AND PALLIATIVE CARE : CERRITOS, CA

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General NPI Number Information
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    NPI Number           |    1982271037
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    Entity Type          |    Organization 
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    Legal Business Name  |    CALPACIFIC HOSPICE AND PALLIATIVE CARE 
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Dates
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    Enumeration Date     |    06/08/2021
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    Last Update Date     |    06/08/2021
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Provider Practice Location Address
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    Address Line         |    18000 STUDEBAKER RD STE 787 
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    City                 |    CERRITOS
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    State                |    CA
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    Zip                  |    90703-2679
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    Country              |    US
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    Telephone            |    714-931-9586
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    18829 JERSEY AVE APT A 
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    City                 |    ARTESIA
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    State                |    CA
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    Zip                  |    90701-5648
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    Country              |    US
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    Telephone            |    714-931-9586
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    Fax                  |    
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Authorized Official
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    Title or Position    |    BOARD DIRECTOR
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    Name                 |     OSCAR  MACARAEG 
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    Credential           |    
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    Telephone            |    714-931-9586
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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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