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General NPI Number Information
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NPI Number | 1235631094
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Entity Type | Organization
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Legal Business Name | GUARDIAN HOSPICE, LLC
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Dates
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Enumeration Date | 03/07/2018
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 5225 S HIGHWAY 95 STE 7
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City | FORT MOHAVE
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State | AZ
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Zip | 86426-9111
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Country | US
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Telephone | 928-278-7691
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Fax | 928-577-2354
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Provider Business Mailing Address
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Address Line | 4824 E BASELINE RD STE 133
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City | MESA
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State | AZ
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Zip | 85206-4680
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Country | US
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Telephone | 480-604-4110
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | KAREN LAVAIN GORDAY
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Credential |
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Telephone | 904-536-9800
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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 | AZ
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