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General NPI Number Information
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NPI Number | 1295801785
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Entity Type | Organization
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Legal Business Name | UNITED HEALTHCARE AND HOSPICE
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 02/08/2008
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Provider Practice Location Address
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Address Line | 558 HIGHWAY 6 E SUITE A
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City | BATESVILLE
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State | MS
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Zip | 38606-3002
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Country | US
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Telephone | 662-934-2981
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Fax |
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Provider Business Mailing Address
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Address Line | 558 HIGHWAY 6 E SUITE A
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City | BATESVILLE
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State | MS
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Zip | 38606-3002
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Country | US
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Telephone | 662-934-2981
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. EDITH M CORKERN
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Credential | RN
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Telephone | 601-573-0386
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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 | 106
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License Number State | MS
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