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General NPI Number Information
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NPI Number | 1841815008
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Entity Type | Organization
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Legal Business Name | SILVER STATE HOSPICE, INC.
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Dates
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Enumeration Date | 06/13/2020
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 6325 HARRISON DR STE 8
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City | LAS VEGAS
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State | NV
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Zip | 89120-4402
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Country | US
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Telephone | 702-331-6402
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Fax | 702-331-5716
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Provider Business Mailing Address
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Address Line | 6325 HARRISON DR STE 8
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City | LAS VEGAS
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State | NV
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Zip | 89120-4402
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Country | US
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Telephone | 702-331-6402
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Fax | 702-331-5716
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. JASON ENSIGN
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Credential |
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Telephone | 702-348-5090
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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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