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General NPI Number Information
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NPI Number | 1477222941
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Entity Type | Organization
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Legal Business Name | AMBASSADORE HOSPICE CARE, INC
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Dates
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Enumeration Date | 09/08/2021
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Last Update Date | 01/13/2023
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Provider Practice Location Address
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Address Line | 1597 E WINDMILL LN STE 400
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City | LAS VEGAS
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State | NV
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Zip | 89123-1921
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Country | US
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Telephone | 702-803-7980
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Fax | 702-608-9049
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Provider Business Mailing Address
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Address Line | 1597 E WINDMILL LN STE 400
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City | LAS VEGAS
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State | NV
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Zip | 89123-1921
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Country | US
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Telephone | 702-803-7980
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Fax | 702-608-9049
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Authorized Official
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Title or Position | PRES/CEO/ADMINISTRATOR
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Name | EMMALYN VANO ALCANTARA
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Credential |
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Telephone | 702-803-7980
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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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