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General NPI Number Information
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NPI Number | 1952660003
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Entity Type | Organization
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Legal Business Name | CAMINO HOSPICE CORPORATION
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Dates
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Enumeration Date | 05/10/2012
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Last Update Date | 01/28/2019
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Provider Practice Location Address
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Address Line | 7806 GATEWAY BLVD E STE 100
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City | EL PASO
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State | TX
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Zip | 79915-1806
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Country | US
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Telephone | 915-313-4720
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Fax | 915-313-4277
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Provider Business Mailing Address
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Address Line | 7806 GATEWAY BLVD E STE 100
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City | EL PASO
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State | TX
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Zip | 79915-1806
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Country | US
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Telephone | 915-313-4720
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Fax | 915-313-4277
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Authorized Official
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Title or Position | RN
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Name | SERGIO JUAREZ
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Credential | RN
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Telephone | 915-313-4720
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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 | 801589272
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License Number State | TX
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