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General NPI Number Information
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NPI Number | 1386755460
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Entity Type | Organization
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Legal Business Name | CIRCLE OF LIFE
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 901 JONES RD
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City | SPRINGDALE
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State | AR
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Zip | 72762-0875
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Country | US
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Telephone | 479-750-6632
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Fax | 479-750-6622
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Provider Business Mailing Address
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Address Line | 901 JONES RD
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City | SPRINGDALE
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State | AR
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Zip | 72762-0875
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Country | US
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Telephone | 479-750-6632
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Fax | 479-750-6622
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Authorized Official
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Title or Position | CEO
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Name | CATHERINE GRUBBS
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Credential |
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Telephone | 479-750-6632
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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 | AR4315
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License Number State | AR
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