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General NPI Number Information
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NPI Number | 1760489066
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE CARE LLC
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 10/24/2019
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Provider Practice Location Address
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Address Line | 6950 VIA OLIVERO AVE STE B4
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City | LAS VEGAS
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State | NV
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Zip | 89117-2849
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Country | US
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Telephone | 702-364-8006
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Fax | 702-364-5675
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Provider Business Mailing Address
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Address Line | 598 W 900 S STE 220
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City | WOODS CROSS
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State | UT
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Zip | 84010-8195
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Country | US
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Telephone | 18-397-4697
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Fax | 801-296-9117
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDWARD BANGERTER
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Credential |
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Telephone | 801-397-4100
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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 | 3776HPC0
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License Number State | NV
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