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General NPI Number Information
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NPI Number | 1760838700
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Entity Type | Organization
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Legal Business Name | ALTA CARE HOSPICE AND PALLIATIVE CARE INC.
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Dates
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Enumeration Date | 05/09/2016
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Last Update Date | 04/20/2024
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Provider Practice Location Address
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Address Line | 6280 S VALLEY VIEW BLVD STE 122
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City | LAS VEGAS
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State | NV
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Zip | 89118-3814
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Country | US
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Telephone | 702-522-8803
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Fax | 702-522-9483
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Provider Business Mailing Address
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Address Line | 6280 S VALLEY VIEW BLVD STE 122
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City | LAS VEGAS
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State | NV
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Zip | 89118-3814
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Country | US
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Telephone | 702-522-8803
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Fax | 702-522-9483
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILMER AQUINO COMAHIG
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Credential |
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Telephone | 702-522-8803
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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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