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General NPI Number Information
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NPI Number | 1013928670
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Entity Type | Organization
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Legal Business Name | HOPE HOSPICE, LLC
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 08/18/2009
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Provider Practice Location Address
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Address Line | 3414 SE KENTUCKY ST
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City | BARTLESVILLE
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State | OK
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Zip | 74006-2319
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Country | US
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Telephone | 918-333-7700
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Fax | 918-333-8200
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Provider Business Mailing Address
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Address Line | 3414 SE KENTUCKY
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City | BARTLESVILLE
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State | OK
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Zip | 74006-2319
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Country | US
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Telephone | 918-333-7700
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Fax | 918-333-8200
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MR. SHERRY J CROCKETT
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Credential | LPN, BA
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Telephone | 918-333-7700
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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 | 4145
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License Number State | OK
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