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General NPI Number Information
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NPI Number | 1104416577
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Entity Type | Organization
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Legal Business Name | VITAL PALLIATIVE CARE, LLC
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Dates
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Enumeration Date | 01/20/2021
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 14809 N 73RD ST STE 204
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-3104
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Country | US
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Telephone | 480-626-2303
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Fax |
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Provider Business Mailing Address
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Address Line | 14809 N 73RD ST STE 204
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-3104
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Country | US
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Telephone | 480-626-2303
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CAITLIN GUINN
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Credential | NP
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Telephone | 480-626-2303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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