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General NPI Number Information
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NPI Number | 1164262275
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Entity Type | Organization
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Legal Business Name | DIGNITY & HOPE HOSPICE
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Dates
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Enumeration Date | 05/28/2024
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 802 E 86TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-1806
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Country | US
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Telephone | 317-460-4808
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Fax | 463-248-5379
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Provider Business Mailing Address
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Address Line | 802 E 86TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-1806
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Country | US
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Telephone | 317-460-4808
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Fax | 463-248-5379
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. JERILYN MCCULLOUGH-GOODING
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Credential | HFA, CDP
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Telephone | 317-460-4808
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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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