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General NPI Number Information
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NPI Number | 1841212818
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Entity Type | Organization
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Legal Business Name | HOSPICE SPECIALISTS, LLC
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 08/02/2022
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Provider Practice Location Address
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Address Line | 6000 S FASHION BLVD STE 200
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City | MURRAY
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State | UT
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Zip | 84107-5437
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Country | US
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Telephone | 801-293-8700
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Fax | 801-293-8701
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Provider Business Mailing Address
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Address Line | 11 E 200 N
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City | OREM
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State | UT
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Zip | 84057-4764
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Country | US
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Telephone | 801-225-7171
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Fax | 801-225-7977
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Authorized Official
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Title or Position | PRESIDENT
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Name | SCOTT BENSON WOOLLEY
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Credential | MBA
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Telephone | 801-225-7171
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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 | 2006-HOSPICE-76453
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License Number State | UT
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