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General NPI Number Information
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NPI Number | 1174003024
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Entity Type | Organization
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Legal Business Name | DOCTORS CHOICE HOSPICE LLC
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Dates
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Enumeration Date | 08/20/2018
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Last Update Date | 08/30/2022
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Provider Practice Location Address
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Address Line | 60 E RIO SALADO PKWY STE 900
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City | TEMPE
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State | AZ
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Zip | 85281-9126
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Country | US
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Telephone | 480-219-5415
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Fax | 480-393-8555
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Provider Business Mailing Address
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Address Line | 60 E RIO SALADO PKWY STE 900
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City | TEMPE
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State | AZ
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Zip | 85281-9126
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Country | US
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Telephone | 480-219-5415
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Fax | 480-393-8555
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | BRANDON RENNER
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Credential | RN
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Telephone | 480-645-9640
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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 | ME7908
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License Number State | AZ
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | MED7908
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License Number State | AZ
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