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General NPI Number Information
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NPI Number | 1326414368
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH CONCEPTS - DODGE, LLC
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Dates
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Enumeration Date | 08/13/2015
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 2425 WESTGATE DR STE 100
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City | ALBANY
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State | GA
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Zip | 31707-2287
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Country | US
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Telephone | 800-932-2738
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Fax |
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Provider Business Mailing Address
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Address Line | 187 N CHURCH ST STE 201
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City | SPARTANBURG
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State | SC
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Zip | 29306-5154
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Country | US
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Telephone | 800-932-2738
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Fax |
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Authorized Official
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Title or Position | CHIEF COMPLIANCE OFFICER
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Name | PAMELA DUNCAN OWENS
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Credential |
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Telephone | 800-932-2738
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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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