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General NPI Number Information
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NPI Number | 1639393135
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Entity Type | Organization
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Legal Business Name | HOSPICE OF THE SANDIAS OF TEXAS LLC
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 708 S 1ST ST
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City | MULESHOE
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State | TX
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Zip | 79347-3627
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Country | US
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Telephone | 888-883-7561
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Fax |
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Provider Business Mailing Address
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Address Line | 105 HOSPITAL LOOP NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-2115
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Country | US
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Telephone | 505-881-5342
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Fax | 505-881-2161
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Authorized Official
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Title or Position | MEMBER
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Name | MR. ALAN ZAMPINI
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Credential |
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Telephone | 505-884-5355
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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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