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General NPI Number Information
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NPI Number | 1316981178
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Entity Type | Organization
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Legal Business Name | SOLAMOR HOSPICE CORPORATION
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 06/21/2011
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Provider Practice Location Address
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Address Line | 7950 E PRENTICE AVE SUITE 101
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2722
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Country | US
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Telephone | 720-200-1036
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Fax | 720-200-4514
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Provider Business Mailing Address
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Address Line | 101 SUN AVE NE COMPLIANCE DEPARTMENT
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-4373
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Country | US
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Telephone | 505-468-5604
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Fax | 505-468-4681
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Authorized Official
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Title or Position | PRESIDENT DIRECTOR
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Name | GLEN CAVALLO
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Credential |
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Telephone | 479-782-9230
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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 | 0937
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License Number State | CO
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