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General NPI Number Information
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NPI Number | 1760135503
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Entity Type | Organization
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Legal Business Name | MAJESTIC HOSPICE, INC.
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Dates
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Enumeration Date | 02/01/2022
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 1810 E SAHARA AVE STE 138
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City | LAS VEGAS
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State | NV
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Zip | 89104-3707
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Country | US
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Telephone | 702-820-4396
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Fax |
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Provider Business Mailing Address
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Address Line | 14327 HONEYHILL ST
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City | VICTORVILLE
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State | CA
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Zip | 92394-7590
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARVYN ABELLA
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Credential |
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Telephone | 562-881-2648
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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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