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General NPI Number Information
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NPI Number | 1073235016
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Entity Type | Organization
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Legal Business Name | NEVADA HOSPICE LLC
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Dates
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Enumeration Date | 09/15/2022
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Last Update Date | 09/15/2022
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Provider Practice Location Address
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Address Line | 3037 E WARM SPRINGS RD # A
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City | LAS VEGAS
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State | NV
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Zip | 89120-3758
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Country | US
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Telephone | 775-513-3852
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Fax |
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Provider Business Mailing Address
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Address Line | 7260 W AZURE DR # 140-1014
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City | LAS VEGAS
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State | NV
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Zip | 89130-7999
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Country | US
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Telephone | 775-513-3852
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BAYINK FALTER
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Credential | NP
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Telephone | 775-513-3852
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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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