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General NPI Number Information
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NPI Number | 1740172154
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Entity Type | Organization
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Legal Business Name | AMG HOSPICE OF LAS VEGAS LLC
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Dates
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Enumeration Date | 07/18/2025
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 9510 W SAHARA AVE STE 225
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City | LAS VEGAS
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State | NV
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Zip | 89117-8812
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Country | US
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Telephone | 702-843-1353
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Fax | 702-843-1363
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Provider Business Mailing Address
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Address Line | 9510 W SAHARA AVE STE 225
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City | LAS VEGAS
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State | NV
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Zip | 89117-8812
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Country | US
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Telephone | 702-843-1353
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Fax | 702-843-1363
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Authorized Official
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Title or Position | COO
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Name | THOMAS W FENDER III
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Credential |
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Telephone | 702-237-0216
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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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