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NPI 1407105018

NPI 1407105018 : HARMONY HOSPICE LLC : EATONTON, GA

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General NPI Number Information
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    NPI Number           |    1407105018
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    Entity Type          |    Organization 
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    Legal Business Name  |    HARMONY HOSPICE LLC 
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Dates
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    Enumeration Date     |    08/29/2012
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    Last Update Date     |    03/08/2013
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Provider Practice Location Address
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    Address Line         |    110 HARMONY CROSSING SUITE 1
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    City                 |    EATONTON
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    State                |    GA
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    Zip                  |    31024-9553
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    Country              |    US
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    Telephone            |    706-923-4677
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    110 HARMONY CROSSING SUITE 1
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    City                 |    EATONTON
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    State                |    GA
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    Zip                  |    31024-9553
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    Country              |    US
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    Telephone            |    706-923-4677
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. KEITH  KUEHN 
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    Credential           |    
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    Telephone            |    706-923-4677
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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 |    GA
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