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General NPI Number Information
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NPI Number | 1780761403
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Entity Type | Organization
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Legal Business Name | DIGNITY HEALTH
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 10/29/2014
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Provider Practice Location Address
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Address Line | 1776 E WARM SPRINGS RD SUITE 202
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City | LAS VEGAS
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State | NV
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Zip | 89119-4676
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Country | US
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Telephone | 702-616-4397
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Fax | 702-616-4489
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Provider Business Mailing Address
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Address Line | 1776 E WARM SPRINGS RD SUITE 202
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City | LAS VEGAS
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State | NV
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Zip | 89119-4676
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Country | US
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Telephone | 702-616-4397
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Fax | 702-616-4489
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | KEVIN WALTERS
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Credential |
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Telephone | 702-616-5507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 617HHA-14
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License Number State | NV
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