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General NPI Number Information
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NPI Number | 1992482525
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Entity Type | Organization
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Legal Business Name | LILAC HOSPICE OF EL PASO
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Dates
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Enumeration Date | 07/05/2023
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Last Update Date | 07/05/2023
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Provider Practice Location Address
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Address Line | 248 CHANTICLEER PLACE
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City | EL PASO
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State | TX
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Zip | 79915-4609
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Country | US
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Telephone | 915-799-7662
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Fax |
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Provider Business Mailing Address
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Address Line | 248 CHANTICLEER PLACE
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City | EL PASO
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State | TX
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Zip | 79915-4609
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Country | US
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Telephone | 915-799-7662
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF NURSING/OWNER
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Name | JUANITA ALVAREZ
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Credential |
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Telephone | 915-799-7662
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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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