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General NPI Number Information
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NPI Number | 1144084625
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Entity Type | Organization
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Legal Business Name | INDIANAPOLIS HOSPICE, LLC
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Dates
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Enumeration Date | 02/06/2024
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 5354 W 62ND ST APT 174
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-6427
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Country | US
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Telephone | 601-582-6031
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Fax |
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Provider Business Mailing Address
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Address Line | 133 MAYFAIR RD
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City | HATTIESBURG
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State | MS
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Zip | 39402-1464
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Country | US
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Telephone | 601-582-6031
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | WILFORD A PAYNE
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Credential |
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Telephone | 601-582-6031
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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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