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General NPI Number Information
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NPI Number | 1043651987
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Entity Type | Organization
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Legal Business Name | FAITH AND HARMONY HOSPICE, LLC
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Dates
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Enumeration Date | 07/08/2013
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Last Update Date | 07/08/2013
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Provider Practice Location Address
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Address Line | 4300 N MILLER RD STE 110
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-3638
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Country | US
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Telephone | 602-397-0674
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Fax |
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Provider Business Mailing Address
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Address Line | 4300 N MILLER RD STE 110
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-3638
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Country | US
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Telephone | 602-397-0674
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. HOLLIE D SLATTERY
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Credential |
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Telephone | 513-325-9304
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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 | HSPC5706
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License Number State | AZ
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