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General NPI Number Information
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NPI Number | 1003850694
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Entity Type | Organization
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Legal Business Name | SOLAMOR HOSPICE CORPORATION
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 06/22/2011
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Provider Practice Location Address
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Address Line | 4 OXFORD RD SUITE E4
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City | MILFORD
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State | CT
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Zip | 06460-3855
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Country | US
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Telephone | 203-301-0489
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Fax | 203-301-0632
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Provider Business Mailing Address
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Address Line | 101 SUN AVE NE COMPLIANCE DEPARTMENT
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-4373
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Country | US
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Telephone | 505-468-5604
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Fax | 505-468-4681
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GLEN CAVALLO
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Credential |
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Telephone | 479-782-9230
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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 | 0022
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License Number State |
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