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General NPI Number Information
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NPI Number | 1366615692
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Entity Type | Organization
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Legal Business Name | VITAS HOSPICE SERVICES, LLC
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Dates
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Enumeration Date | 04/08/2008
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Last Update Date | 07/23/2009
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Provider Practice Location Address
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Address Line | 5430 NW 33RD AVE SUITE 106
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City | FT LAUDERDALE
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State | FL
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Zip | 33309-6349
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Country | US
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Telephone | 866-408-4827
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Fax |
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Provider Business Mailing Address
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Address Line | 5430 NW 33RD AVE SUITE 106
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City | FT LAUDERDALE
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State | FL
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Zip | 33309-6349
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Country | US
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Telephone | 866-408-4827
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | MRS. DEIRDRE LAWE
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Credential |
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Telephone | 305-350-6925
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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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