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General NPI Number Information
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NPI Number | 1518661545
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Entity Type | Organization
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Legal Business Name | DESTINY HOSPICE AND PALLIATIVE CARE INC
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Dates
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Enumeration Date | 03/27/2023
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | 3510 HOBSON RD STE 101
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City | WOODRIDGE
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State | IL
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Zip | 60517-1440
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Country | US
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Telephone | 630-743-9858
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Fax | 630-931-0584
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Provider Business Mailing Address
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Address Line | 3510 HOBSON RD STE 101
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City | WOODRIDGE
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State | IL
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Zip | 60517-1440
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Country | US
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Telephone | 630-743-9858
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Fax | 630-931-0584
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Authorized Official
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Title or Position | AUTHORIZED EMPLOYEE
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Name | MR. RAUL NOCETE
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Credential | RN
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Telephone | 888-984-8220
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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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