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General NPI Number Information
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NPI Number | 1801296421
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Entity Type | Organization
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Legal Business Name | HOSPICE OF GREEN VALLEY
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Dates
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Enumeration Date | 09/02/2014
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Last Update Date | 09/02/2014
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Provider Practice Location Address
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Address Line | 150 N LA CANADA DR
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City | GREEN VALLEY
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State | AZ
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Zip | 85614-3129
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Country | US
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Telephone | 520-230-4532
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Fax | 520-352-3095
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Provider Business Mailing Address
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Address Line | 150 N LA CANADA DR
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City | GREEN VALLEY
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State | AZ
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Zip | 85614-3129
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Country | US
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Telephone | 520-230-4532
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Fax | 520-352-3095
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Authorized Official
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Title or Position | DIRECTOR
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Name | KATIE BARANS
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Credential | MSW MBA
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Telephone | 520-230-4532
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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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