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General NPI Number Information
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NPI Number | 1164404950
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Entity Type | Organization
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Legal Business Name | HACKLEY VISITING NURSE SERVICES AND HOSPICE INC
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Dates
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Enumeration Date | 11/17/2005
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Last Update Date | 11/05/2009
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Provider Practice Location Address
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Address Line | 888 TERRACE ST
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City | MUSKEGON
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State | MI
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Zip | 49440-1220
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Country | US
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Telephone | 231-726-5025
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Fax | 231-728-4958
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Provider Business Mailing Address
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Address Line | 888 TERRACE ST
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City | MUSKEGON
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State | MI
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Zip | 49440-1220
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Country | US
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Telephone | 231-726-5025
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Fax | 231-728-4958
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Authorized Official
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Title or Position | DIRECTOR OF PATIENT ACCOUNTING
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Name | ERIN BISHOP
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Credential |
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Telephone | 734-542-8213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | MI
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