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General NPI Number Information
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NPI Number | 1013320274
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Entity Type | Organization
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Legal Business Name | HOSPICE ADVANTAGE, LLC.
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Dates
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Enumeration Date | 06/05/2014
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 4612 S HARVARD AVE STE D
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City | TULSA
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State | OK
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Zip | 74135-2929
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Country | US
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Telephone | 918-770-7687
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Fax | 918-592-4110
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Provider Business Mailing Address
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Address Line | 10 CADILLAC DRIVE SUITE 400
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City | BRENTWOOD
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State | TN
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Zip | 37027-1001
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Country | US
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Telephone | 615-377-7022
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Fax | 615-373-4457
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Authorized Official
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Title or Position | SVP GENERAL COUNSEL
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Name | RUSSELL ADKINS
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Credential |
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Telephone | 615-309-5668
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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 | HO4248
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License Number State | OK
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