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General NPI Number Information
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NPI Number | 1457029266
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Entity Type | Organization
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Legal Business Name | BEST SUPPORT HOSPICE INC
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Dates
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Enumeration Date | 09/06/2021
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Last Update Date | 09/06/2021
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Provider Practice Location Address
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Address Line | 4150 W PEORIA AVE STE B130D
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City | PHOENIX
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State | AZ
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Zip | 85029-3900
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Country | US
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Telephone | 602-960-6027
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Fax | 928-304-7522
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Provider Business Mailing Address
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Address Line | 4150 W PEORIA AVE STE B130D
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City | PHOENIX
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State | AZ
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Zip | 85029-3900
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Country | US
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Telephone | 602-960-6027
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Fax | 928-304-7522
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Authorized Official
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Title or Position | DIRECTOR
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Name | VAHAGN PRAZYAN
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Credential |
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Telephone | 602-960-6027
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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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