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General NPI Number Information
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NPI Number | 1275858631
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Entity Type | Organization
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Legal Business Name | INTEGRACARE OF ATHENS - HOSPICE, LLC
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Dates
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Enumeration Date | 03/29/2010
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Last Update Date | 10/11/2023
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Provider Practice Location Address
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Address Line | 5409 PLAZA DR
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City | TEXARKANA
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State | TX
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Zip | 75503-1662
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Country | US
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Telephone | 903-675-8941
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Fax | 903-675-2289
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Provider Business Mailing Address
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Address Line | 655 BRAWLEY SCHOOL RD STE 200
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City | MOORESVILLE
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State | NC
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Zip | 28117-9601
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Country | US
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Telephone | 704-664-2876
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Fax | 704-664-1306
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Authorized Official
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Title or Position | SVP OF LEGAL AND COMPLIANCE
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Name | JANET COMBS
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Credential |
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Telephone | 704-664-2876
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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 | PENDING
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License Number State | TX
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