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General NPI Number Information
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NPI Number | 1336163815
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Entity Type | Organization
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Legal Business Name | EMBRACING HOSPICECARE, LLC
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 02/05/2010
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Provider Practice Location Address
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Address Line | 5775 PEACHTREE DUNWOODY RD NE STE D 580
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City | ATLANTA
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State | GA
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Zip | 30342-1556
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Country | US
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Telephone | 404-659-0110
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Fax | 770-454-7730
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Provider Business Mailing Address
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Address Line | 50 N LAURA ST STE 1800
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City | JACKSONVILLE
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State | FL
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Zip | 32202-3664
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Country | US
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Telephone | 904-493-6745
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Fax | 904-262-4804
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Authorized Official
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Title or Position | CFO
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Name | MR. RICH FOGLE
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Credential |
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Telephone | 904-493-6745
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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 | 044162H
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License Number State | GA
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