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General NPI Number Information
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NPI Number | 1407231368
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Entity Type | Organization
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Legal Business Name | PEACE HOSPICE AND PALLIATIVE CARE INC
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Dates
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Enumeration Date | 07/21/2015
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Last Update Date | 07/21/2015
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Provider Practice Location Address
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Address Line | 3017 W CHARLESTON BLVD SUITE 30
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City | LAS VEGAS
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State | NV
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Zip | 89102-1941
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Country | US
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Telephone | 702-550-4246
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Fax |
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Provider Business Mailing Address
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Address Line | 3017 W CHARLESTON BLVD SUITE 30
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City | LAS VEGAS
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State | NV
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Zip | 89102-1941
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Country | US
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Telephone | 702-550-4246
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT/SECRETARY
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Name | MS. MICHELLE G VIGILIA
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Credential | RN
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Telephone | 702-550-4246
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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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