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General NPI Number Information
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NPI Number | 1861822363
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Entity Type | Organization
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Legal Business Name | CATHOLIC PALLIATIVE CARE SERVICES, INC.
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Dates
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Enumeration Date | 11/19/2013
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | 14875 NW 77TH AVE SUITE 100
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2568
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Country | US
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Telephone | 305-351-7057
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Fax | 305-824-0665
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Provider Business Mailing Address
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Address Line | 14875 NW 77TH AVE SUITE 100
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2568
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Country | US
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Telephone | 305-351-7057
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Fax | 305-824-0665
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DIAN BACKOFF
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Credential |
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Telephone | 305-351-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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