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General NPI Number Information
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NPI Number | 1417885831
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Entity Type | Organization
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Legal Business Name | HOSPICE OF DIVINE MERCY INC
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 499 ARROWHEAD BLVD STE 200
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City | JONESBORO
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State | GA
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Zip | 30236-1273
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Country | US
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Telephone | 678-333-2206
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Fax | 678-828-5505
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Provider Business Mailing Address
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Address Line | 319 HARDIN HOME WAY
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-6045
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Country | US
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Telephone | 678-908-8870
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SCHOLAR IBEZIM
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Credential |
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Telephone | 678-908-8870
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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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