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General NPI Number Information
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NPI Number | 1285976399
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Entity Type | Organization
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Legal Business Name | EL SOL HOSPICE AND PALLIATIVE CARE, LLC
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Dates
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Enumeration Date | 03/27/2013
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Last Update Date | 09/25/2013
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Provider Practice Location Address
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Address Line | 660 S PINAL PKWY STE 107
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City | FLORENCE
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State | AZ
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Zip | 85132-9726
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Country | US
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Telephone | 520-484-8484
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Fax |
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Provider Business Mailing Address
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Address Line | 9341 E MCKELLIPS RD
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City | MESA
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State | AZ
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Zip | 85207-2632
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Country | US
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Telephone | 520-429-4043
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. HARINDER K TAKYAR
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Credential | M.D.
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Telephone | 520-429-4043
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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 | 34308
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License Number State | AZ
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