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General NPI Number Information
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NPI Number | 1134551930
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Entity Type | Organization
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Legal Business Name | NEVADA HOSPICE CARE,LLC
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Dates
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Enumeration Date | 08/02/2013
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Last Update Date | 02/11/2015
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Provider Practice Location Address
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Address Line | 6960 OBANNON DR SUITE 130
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City | LAS VEGAS
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State | NV
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Zip | 89117-2850
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Country | US
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Telephone | 702-912-0500
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Fax | 702-912-0504
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Provider Business Mailing Address
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Address Line | 6960 OBANNON DR SUITE 130
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City | LAS VEGAS
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State | NV
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Zip | 89117-2850
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Country | US
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Telephone | 702-912-0500
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Fax | 702-912-0504
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. GREGORY N. BECKER
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Credential |
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Telephone | 702-498-0267
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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 | 7518HPC-1
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License Number State | NV
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