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NPI 1083677843

NPI 1083677843 : TRADITIONS HOSPICE OF SEMINOLE, LLC : SEMINOLE, OK

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General NPI Number Information
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    NPI Number           |    1083677843
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRADITIONS HOSPICE OF SEMINOLE, LLC 
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Dates
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    Enumeration Date     |    04/11/2006
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    Last Update Date     |    11/17/2025
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Provider Practice Location Address
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    Address Line         |    320 N MAIN ST 
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    City                 |    SEMINOLE
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    State                |    OK
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    Zip                  |    74868-3428
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    Country              |    US
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    Telephone            |    405-303-2012
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    Fax                  |    405-303-2192
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Provider Business Mailing Address
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    Address Line         |    6840 CAROTHERS PKWY STE 550 
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    City                 |    FRANKLIN
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    State                |    TN
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    Zip                  |    37067-8002
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    Country              |    US
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    Telephone            |    979-704-6547
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    Fax                  |    866-908-8704
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Authorized Official
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    Title or Position    |    PRESIDENT & CEO
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    Name                 |     BRIAN  LANTIER 
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    Credential           |    
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    Telephone            |    979-704-6547
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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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