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General NPI Number Information
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NPI Number | 1962920207
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Entity Type | Organization
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Legal Business Name | MOUNT EVANS HOSPICE, INC.
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Dates
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Enumeration Date | 09/07/2017
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 3081 BERGEN PEAK DR
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City | EVERGREEN
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State | CO
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Zip | 80439-2200
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Country | US
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Telephone | 303-674-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 3081 BERGEN PEAK DR
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City | EVERGREEN
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State | CO
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Zip | 80439-2200
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Country | US
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Telephone | 303-674-6400
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Fax | 303-674-8813
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Authorized Official
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Title or Position | INTERIM PRESIDENT AND CEO
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Name | LYDIA THANGAIYAN
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Credential |
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Telephone | 949-647-0423
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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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