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General NPI Number Information
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NPI Number | 1003872276
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Entity Type | Organization
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Legal Business Name | AVOW HOSPICE INC
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 03/10/2023
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Provider Practice Location Address
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Address Line | 1095 WHIPPOORWILL LN
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City | NAPLES
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State | FL
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Zip | 34105-3847
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Country | US
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Telephone | 239-261-4404
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Fax | 239-280-5998
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Provider Business Mailing Address
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Address Line | 1205 WHIPPOORWILL LN
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City | NAPLES
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State | FL
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Zip | 34105-5028
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Country | US
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Telephone | 239-304-1600
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Fax | 239-280-5998
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Authorized Official
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Title or Position | CFO
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Name | MS. PHYLLIS HALL
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Credential |
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Telephone | 239-261-4404
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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 | 5022096
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License Number State | FL
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