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General NPI Number Information
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NPI Number | 1568185577
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Entity Type | Organization
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Legal Business Name | THALIA HOSPICE CARE INC
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Dates
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Enumeration Date | 09/23/2022
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 8485 W SUNSET RD STE 208
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City | LAS VEGAS
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State | NV
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Zip | 89113-2249
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Country | US
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Telephone | 702-665-8962
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Fax |
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Provider Business Mailing Address
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Address Line | 8485 W SUNSET RD STE 208
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City | LAS VEGAS
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State | NV
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Zip | 89113-2249
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Country | US
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Telephone | 702-665-8962
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. JENNIFER GARDEA
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Credential |
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Telephone | 702-665-8962
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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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