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General NPI Number Information
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NPI Number | 1710860515
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Entity Type | Organization
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Legal Business Name | VIDA CARE HOSPICE LLC
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 12457 W SOLANO DR
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-3489
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Country | US
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Telephone | 310-310-4861
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Fax |
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Provider Business Mailing Address
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Address Line | 8172 OAK POND CIR APT 802
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City | ORLANDO
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State | FL
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Zip | 32821-6357
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Country | US
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Telephone | 310-310-4861
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Fax |
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Authorized Official
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Title or Position | MBR
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Name | JONATHAN GARCIA
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Credential |
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Telephone | 310-310-4861
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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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