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General NPI Number Information
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NPI Number | 1093246068
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Entity Type | Organization
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Legal Business Name | HEART OF HOSPICE, LLC
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Dates
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Enumeration Date | 03/22/2017
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Last Update Date | 03/22/2017
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Provider Practice Location Address
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Address Line | 657 OAKLAND AVE
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City | HELENA
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State | AR
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Zip | 72342-1503
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Country | US
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Telephone | 870-201-2490
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Fax |
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Provider Business Mailing Address
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Address Line | 134 COLUMBUS ST
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City | CHARLESTON
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State | SC
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Zip | 29403-4809
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Country | US
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Telephone | 843-577-7111
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CARLA D DAVIS
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Credential |
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Telephone | 843-577-7111
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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 | 837
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License Number State | AR
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