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General NPI Number Information
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NPI Number | 1255735866
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Entity Type | Organization
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Legal Business Name | SEASONS HOSPICE INC
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Dates
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Enumeration Date | 10/11/2014
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Last Update Date | 08/08/2016
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Provider Practice Location Address
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Address Line | 510 SOUTH 10TH STREET UNIT D
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City | LAS VEGAS
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State | NV
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Zip | 89101-7053
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Country | US
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Telephone | 702-534-0730
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Fax | 702-778-4510
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Provider Business Mailing Address
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Address Line | 510 SOUTH 10TH STREET UNIT D
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City | LAS VEGAS
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State | NV
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Zip | 89101-2220
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Country | US
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Telephone | 702-534-0730
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Fax | 702-778-4510
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Authorized Official
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Title or Position | SECRETARY
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Name | MS. SHEILA ALEXANDER
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Credential |
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Telephone | 702-534-0730
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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 | NV20141375392
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License Number State | NV
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