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General NPI Number Information
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NPI Number | 1568643799
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Entity Type | Organization
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Legal Business Name | HOSPICE DEL SOL LLC
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Dates
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Enumeration Date | 11/15/2007
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Last Update Date | 02/24/2009
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Provider Practice Location Address
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Address Line | 3634 N RANCHO DR
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City | LAS VEGAS
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State | NV
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Zip | 89130-3166
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Country | US
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Telephone | 702-528-4782
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Fax | 702-645-1478
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Provider Business Mailing Address
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Address Line | 5538 DUNCAN DR
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City | LAS VEGAS
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State | NV
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Zip | 89130-2812
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Country | US
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Telephone | 702-528-4782
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Fax | 702-645-1478
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. KELLI TOOMEY MUNIZ
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Credential |
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Telephone | 702-528-4782
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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 | 4928HPC-0
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License Number State | NV
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