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General NPI Number Information
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NPI Number | 1891085635
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Entity Type | Organization
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Legal Business Name | VITAS HEATLHCARE CORPORATION MIDWEST
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Dates
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Enumeration Date | 04/13/2011
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Last Update Date | 12/24/2018
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Provider Practice Location Address
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Address Line | 1088 9TH AVE SW
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City | BESSEMER
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State | AL
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Zip | 35022-7833
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Country | US
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Telephone | 205-424-1131
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Fax |
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Provider Business Mailing Address
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Address Line | 3046 CORPORATE WAY
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City | MIRAMAR
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State | FL
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Zip | 33025-6547
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Country | US
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Telephone | 305-350-5930
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NICK WESTFALL
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Credential |
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Telephone | 305-350-6756
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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 | E3709
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License Number State | AL
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