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General NPI Number Information
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NPI Number | 1164728689
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Entity Type | Organization
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Legal Business Name | SAINT ANTHONYS HOSPICE & PALLIATIVE CARE
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Dates
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Enumeration Date | 01/31/2011
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Last Update Date | 04/11/2011
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Provider Practice Location Address
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Address Line | 108 N RUBY AVE
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City | RULEVILLE
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State | MS
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Zip | 38771-3940
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Country | US
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Telephone | 662-756-2072
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Fax | 662-756-2074
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Provider Business Mailing Address
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Address Line | 1027 FRENCH RD
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City | INDIANOLA
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State | MS
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Zip | 38751-9605
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Country | US
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Telephone | 662-466-0330
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Fax | 662-756-0931
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Authorized Official
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Title or Position | ADMINISTRATOR/DIRECTOR
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Name | TINA L. STEELE
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Credential |
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Telephone | 662-466-0330
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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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