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General NPI Number Information
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NPI Number | 1326619271
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Entity Type | Organization
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Legal Business Name | AMERICADE PALLIATIVE HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 07/01/2021
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Last Update Date | 07/08/2021
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Provider Practice Location Address
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Address Line | 3301 SPRING MOUNTAIN ROAD STE. 12
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City | LAS VEGAS
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State | NV
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Zip | 89102
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Country | US
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Telephone | 702-266-7443
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Fax | 702-537-8870
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Provider Business Mailing Address
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Address Line | 3301 SPRING MOUNTAIN ROAD STE. 12
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City | LAS VEGAS
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State | NV
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Zip | 89102
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Country | US
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Telephone | 702-266-7443
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Fax | 702-537-8870
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MARIA VISITACION AGNES TESRO
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Credential | RN
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Telephone | 562-480-7536
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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 |
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