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General NPI Number Information
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NPI Number | 1649398835
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Entity Type | Organization
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Legal Business Name | ANGEL EYE HOSPICE, LLC
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 02/12/2009
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Provider Practice Location Address
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Address Line | 2770 S MARYLAND PKWY SUITE 512
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City | LAS VEGAS
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State | NV
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Zip | 89109-1554
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Country | US
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Telephone | 702-737-1771
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Fax | 702-737-7871
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Provider Business Mailing Address
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Address Line | 2770 S MARYLAND PKWY SUITE 413
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City | LAS VEGAS
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State | NV
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Zip | 89109-1554
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Country | US
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Telephone | 702-737-1771
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Fax | 702-737-7871
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. DONNA DELANCY
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Credential | MBA
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Telephone | 702-737-1771
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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 | 4119HPC1
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License Number State | NV
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