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General NPI Number Information
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NPI Number | 1528757242
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Entity Type | Organization
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Legal Business Name | AMAYA HOSPICE LLC
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Dates
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Enumeration Date | 05/08/2023
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Last Update Date | 05/08/2023
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Provider Practice Location Address
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Address Line | 8500 N STEMMONS FWY STE 5054
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City | DALLAS
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State | TX
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Zip | 75247-3955
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Country | US
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Telephone | 209-499-8634
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 G ST
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City | MODESTO
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State | CA
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Zip | 95354-2450
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Country | US
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Telephone | 209-499-8634
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Fax |
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Authorized Official
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Title or Position | VP/SEC
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Name | JAN FLORES
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Credential |
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Telephone | 310-408-3135
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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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