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General NPI Number Information
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NPI Number | 1396135547
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Entity Type | Organization
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Legal Business Name | HOSPICE OF RENO COUNTY, INC.
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Dates
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Enumeration Date | 01/27/2015
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Last Update Date | 01/28/2019
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Provider Practice Location Address
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Address Line | 2020 N WALDRON ST STE 100
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City | HUTCHINSON
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State | KS
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Zip | 67502-1100
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Country | US
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Telephone | 620-665-2473
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Fax | 620-669-5959
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Provider Business Mailing Address
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Address Line | 2020 N WALDRON ST STE 100
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City | HUTCHINSON
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State | KS
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Zip | 67502-1100
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Country | US
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Telephone | 620-665-2473
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Fax | 620-669-5959
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER
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Name | MRS. DARLA WILSON
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Credential | RN, BSN, CHPN
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Telephone | 620-665-2473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | A078002
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License Number State | KS
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