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General NPI Number Information
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NPI Number | 1871276238
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Entity Type | Organization
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Legal Business Name | EMERALD CARE HOSPICE LLC
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Dates
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Enumeration Date | 08/10/2023
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Last Update Date | 08/10/2023
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Provider Practice Location Address
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Address Line | 3885 S DECATUR BLVD STE 2000A
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City | LAS VEGAS
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State | NV
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Zip | 89103-5873
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Country | US
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Telephone | 702-613-8842
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Fax |
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Provider Business Mailing Address
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Address Line | 3885 S DECATUR BLVD STE 2000A
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City | LAS VEGAS
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State | NV
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Zip | 89103-5873
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Country | US
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Telephone | 702-613-8842
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MIKI TON
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Credential |
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Telephone | 702-755-1800
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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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