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General NPI Number Information
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NPI Number | 1902286354
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Entity Type | Organization
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Legal Business Name | AFFECTIONATE HOSPICE CARE, LLC
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Dates
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Enumeration Date | 06/01/2015
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Last Update Date | 06/01/2015
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Provider Practice Location Address
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Address Line | 1641 E FLAMINGO RD SUITE 8
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City | LAS VEGAS
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State | NV
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Zip | 89119-5257
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Country | US
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Telephone | 702-629-7308
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Fax | 702-834-3797
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Provider Business Mailing Address
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Address Line | 1641 E. FLAMINGO RD. SUITE 8
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City | LAS VEGAS
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State | NV
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Zip | 89119-9998
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Country | US
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Telephone | 702-629-7308
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Fax | 702-834-3797
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. LORILYN FARAON
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Credential | REGISTERED NURSE
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Telephone | 702-629-7308
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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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