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General NPI Number Information
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NPI Number | 1013671676
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Entity Type | Organization
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Legal Business Name | ODYSSEY HEALTHCARE OPERATING A, LP
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Dates
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Enumeration Date | 10/28/2021
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 100 E PEACH ST STE 280
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City | EL DORADO
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State | AR
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Zip | 71730-5897
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Country | US
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Telephone | 870-498-4358
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Fax | 870-837-2528
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Provider Business Mailing Address
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Address Line | P.O. BOX 4060 ATTN: REGULATORY
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City | MOORESVILLE
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State | NC
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Zip | 28117
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Country | US
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Telephone | 704-664-2876
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | JANET L. COMBS
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Credential |
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Telephone | 704-664-2876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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