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General NPI Number Information
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NPI Number | 1326045055
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Entity Type | Organization
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Legal Business Name | HOSPICE WITH HEART
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 101 E GRAHAM AVE SUITE 2
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51503-6691
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Country | US
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Telephone | 712-325-6802
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Fax | 712-322-2671
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Provider Business Mailing Address
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Address Line | 101 E GRAHAM AVE SUITE 2
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51503-6691
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Country | US
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Telephone | 712-325-6802
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Fax | 712-322-2671
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MRS. DAWN RENEE STANE
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Credential | RN
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Telephone | 712-325-6802
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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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