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General NPI Number Information
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NPI Number | 1730835141
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Entity Type | Organization
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Legal Business Name | SUNSET HAVEN HOSPICE CARE LLC
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Dates
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Enumeration Date | 02/24/2022
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 6272 SPRING MOUNTAIN RD STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89146-8876
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Country | US
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Telephone | 702-499-7848
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Fax | 725-235-7488
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Provider Business Mailing Address
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Address Line | 6272 SPRING MOUNTAIN RD STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89146-8876
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Country | US
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Telephone | 702-499-7848
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Fax | 725-235-7488
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Authorized Official
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Title or Position | TREASURER
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Name | CARLOS MIGUEL ROBLEDO
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Credential |
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Telephone | 702-881-5487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number |
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License Number State |
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Taxonomy #2
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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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