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General NPI Number Information
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NPI Number | 1467320903
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Entity Type | Organization
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Legal Business Name | CIRCLE OF LIFE HOSPICE NV LLC
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 8989 W FLAMINGO RD STE 2
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City | LAS VEGAS
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State | NV
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Zip | 89147-0431
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Country | US
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Telephone | 702-756-9911
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Fax |
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Provider Business Mailing Address
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Address Line | 8989 W FLAMINGO RD STE 2
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City | LAS VEGAS
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State | NV
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Zip | 89147-0431
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | KELLI GRIMLIE
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Credential |
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Telephone | 702-756-9911
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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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