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General NPI Number Information
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NPI Number | 1982359469
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Entity Type | Organization
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Legal Business Name | LIFESPAN HOSPICE CARE INC
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Dates
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Enumeration Date | 02/14/2022
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 1555 E FLAMINGO RD # F-129
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City | LAS VEGAS
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State | NV
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Zip | 89119-5258
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Country | US
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Telephone | 725-433-1177
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Fax | 725-433-1178
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Provider Business Mailing Address
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Address Line | 1555 E FLAMINGO RD # F-129
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City | LAS VEGAS
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State | NV
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Zip | 89119-5258
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Country | US
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Telephone | 725-433-1177
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Fax | 725-433-1178
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Authorized Official
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Title or Position | CEO
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Name | ARTAVAZD GEVORGYAN
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Credential |
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Telephone | 725-433-1177
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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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