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General NPI Number Information
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NPI Number | 1316160856
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Entity Type | Organization
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Legal Business Name | ACE HOSPICE INC.
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3885 S DECATUR BLVD STE 2020
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City | LAS VEGAS
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State | NV
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Zip | 89103-5873
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Country | US
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Telephone | 702-362-2290
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Fax | 702-974-0517
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Provider Business Mailing Address
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Address Line | 628 N VERMONT AVE STE 4
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City | LOS ANGELES
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State | CA
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Zip | 90004-2154
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Country | US
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Telephone | 323-805-0175
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Fax | 323-668-2784
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. EVELYN GARCIA
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Credential | RN
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Telephone | 323-805-0175
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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 | NV
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