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General NPI Number Information
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NPI Number | 1346842689
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Entity Type | Organization
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Legal Business Name | ASPEN HOSPICE AND PALLIATIVE CARE LLC
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Dates
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Enumeration Date | 11/11/2020
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Last Update Date | 11/12/2020
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Provider Practice Location Address
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Address Line | 170 S GREEN VALLEY PKWY STE 300-340
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City | HENDERSON
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State | NV
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Zip | 89012-3132
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Country | US
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Telephone | 725-500-5757
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Fax | 725-500-5757
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Provider Business Mailing Address
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Address Line | 170 S GREEN VALLEY PKWY STE 300-340
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City | HENDERSON
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State | NV
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Zip | 89012-3132
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Country | US
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Telephone | 725-500-5757
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Fax | 725-500-5757
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Authorized Official
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Title or Position | OWNER
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Name | TREVOR COLLETTE
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Credential |
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Telephone | 725-500-5757
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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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