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General NPI Number Information
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NPI Number | 1053314252
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Entity Type | Organization
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Legal Business Name | HOSPICE ALLIANCE, INC.
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 10220 PRAIRIE RIDGE BLVD
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City | PLEASANT PRAIRIE
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State | WI
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Zip | 53158-1946
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Country | US
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Telephone | 262-652-4400
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Fax | 262-925-1361
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Provider Business Mailing Address
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Address Line | 10220 PRAIRIE RIDGE BLVD
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City | PLEASANT PRAIRIE
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State | WI
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Zip | 53158-1946
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Country | US
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Telephone | 262-652-4400
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Fax | 262-925-1361
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | CRISTINA PUTRA
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Credential |
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Telephone | 262-652-4482
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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 | 1502
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License Number State | WI
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