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General NPI Number Information
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NPI Number | 1982372710
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Entity Type | Organization
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Legal Business Name | AHAVAH HOSPICE INC.
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Dates
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Enumeration Date | 09/07/2021
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Last Update Date | 09/09/2021
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Provider Practice Location Address
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Address Line | 651 E PENNSYLVANIA AVE STE 202
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City | ESCONDIDO
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State | CA
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Zip | 92025-3053
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Country | US
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Telephone | 619-354-2602
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Fax | 619-343-3143
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Provider Business Mailing Address
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Address Line | 651 E PENNSYLVANIA AVE STE 202
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City | ESCONDIDO
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State | CA
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Zip | 92025-3053
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Country | US
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Telephone | 619-354-2602
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Fax | 619-343-3143
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Authorized Official
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Title or Position | ADMINISTRATOR DESIGNEE
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Name | MARLYN P AGUILAR
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Credential |
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Telephone | 818-448-2891
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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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