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General NPI Number Information
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NPI Number | 1659432243
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Entity Type | Organization
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Legal Business Name | RTA HOSPICE, LLC
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 03/12/2020
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Provider Practice Location Address
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Address Line | 2320 S 22ND DR
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City | YUMA
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State | AZ
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Zip | 85364-8867
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Country | US
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Telephone | 928-344-6100
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Fax | 928-317-0311
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Provider Business Mailing Address
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Address Line | 10 CADILLAC DR SUITE 400
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City | BRENTWOOD
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State | TN
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Zip | 37027-5078
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Country | US
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Telephone | 515-425-5407
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Fax | 615-373-4457
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Authorized Official
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Title or Position | SVP GENERAL COUNSEL
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Name | RUSSELL ADKINS
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Credential |
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Telephone | 615-309-5668
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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 | PENDING
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License Number State | AZ
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