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General NPI Number Information
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NPI Number | 1861278905
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Entity Type | Organization
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Legal Business Name | LIFE CARE HOSPICE LLC
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Dates
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Enumeration Date | 09/05/2023
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Last Update Date | 09/05/2023
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Provider Practice Location Address
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Address Line | 3885 S DECATUR BLVD STE 1040A
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City | LAS VEGAS
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State | NV
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Zip | 89103-5855
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Country | US
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Telephone | 702-831-2120
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Fax | 702-964-1181
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Provider Business Mailing Address
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Address Line | 3885 S DECATUR BLVD STE 1040A
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City | LAS VEGAS
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State | NV
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Zip | 89103-5855
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Country | US
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Telephone | 702-964-1343
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MIKI TON
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Credential |
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Telephone | 702-831-2120
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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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