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General NPI Number Information
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NPI Number | 1023099595
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Entity Type | Organization
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Legal Business Name | CIRCLE OF LIFE HOSPICE
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Dates
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Enumeration Date | 11/10/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1010 N 7TH ST
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City | CHARITON
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State | IA
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Zip | 50049-1206
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Country | US
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Telephone | 641-774-2339
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Fax | 641-774-5267
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Provider Business Mailing Address
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Address Line | 1010 N 7TH ST PO BOX 569
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City | CHARITON
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State | IA
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Zip | 50049-1206
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Country | US
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Telephone | 641-774-2339
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Fax | 641-774-5267
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Authorized Official
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Title or Position | NURSE ADMINISTRATOR
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Name | MRS. AMANDA BROOKE SCHROEDER
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Credential | RN, BSN
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Telephone | 641-774-2339
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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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