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General NPI Number Information
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NPI Number | 1700213287
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Entity Type | Organization
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Legal Business Name | XL HOSPICE
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Dates
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Enumeration Date | 09/30/2013
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Last Update Date | 09/30/2013
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Provider Practice Location Address
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Address Line | 312 3RD ST S
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City | NAMPA
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State | ID
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Zip | 83651-3717
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Country | US
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Telephone | 208-465-7121
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Fax |
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Provider Business Mailing Address
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Address Line | 312 3RD ST S
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City | NAMPA
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State | ID
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Zip | 83651-3717
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Country | US
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Telephone | 208-465-7121
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MS. NITA BARRELIER VERNER
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Credential | NP-C
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Telephone | 208-850-3236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP-1343A
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License Number State | ID
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