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General NPI Number Information
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NPI Number | 1285659003
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Entity Type | Organization
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Legal Business Name | MESILLA VALLEY HOSPICE, INC
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 299 MONTANA AVE
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City | LAS CRUCES
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State | NM
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Zip | 88005-3223
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Country | US
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Telephone | 575-523-4700
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Fax | 575-525-5775
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Provider Business Mailing Address
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Address Line | 299 MONTANA AVE
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City | LAS CRUCES
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State | NM
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Zip | 88005-3223
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Country | US
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Telephone | 575-523-4700
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Fax | 575-525-5775
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Authorized Official
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Title or Position | CEO
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Name | LORRAINE PADILLA
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Credential |
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Telephone | 575-523-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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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 | 6139
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License Number State | NM
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