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General NPI Number Information
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NPI Number | 1043967219
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Entity Type | Organization
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Legal Business Name | SUMMERLIN HOSPICE AND PALLIATIVE CARE INC
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Dates
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Enumeration Date | 03/07/2022
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 4735 S DURANGO DR STE 145
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City | LAS VEGAS
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State | NV
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Zip | 89147-8169
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Country | US
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Telephone | 702-331-9120
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Fax | 702-331-3782
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Provider Business Mailing Address
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Address Line | 4735 S DURANGO DR STE 145
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City | LAS VEGAS
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State | NV
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Zip | 89147-8169
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Country | US
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Telephone | 702-331-9120
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Fax | 702-331-3782
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARINE BABAKHANYAN
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Credential |
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Telephone | 702-551-1373
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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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