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General NPI Number Information
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NPI Number | 1841961869
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Entity Type | Organization
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Legal Business Name | ASCENSION HOSPICE LLC
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Dates
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Enumeration Date | 09/21/2021
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Last Update Date | 08/02/2022
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Provider Practice Location Address
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Address Line | 6263 N SCOTTSDALE RD STE 138
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City | SCOTTSDALE
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State | AZ
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Zip | 85250-5436
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Country | US
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Telephone | 928-632-2355
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Fax |
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Provider Business Mailing Address
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Address Line | 5995 E GRANT RD STE 200
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City | TUCSON
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State | AZ
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Zip | 85712-2355
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LINDA MICHELSON
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Credential | M.D.
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Telephone | 602-789-3516
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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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