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General NPI Number Information
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NPI Number | 1427361633
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Entity Type | Organization
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Legal Business Name | HOSPICE OF THURSTON. INC.
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Dates
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Enumeration Date | 07/16/2010
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Last Update Date | 10/11/2011
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Provider Practice Location Address
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Address Line | 307 N FRANKS AVE
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City | STURGIS
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State | MI
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Zip | 49091-1277
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Country | US
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Telephone | 269-651-7841
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Fax | 269-651-2050
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Provider Business Mailing Address
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Address Line | 307 N FRANKS AVE
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City | STURGIS
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State | MI
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Zip | 49091-1277
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Country | US
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Telephone | 269-651-7841
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Fax | 269-651-2050
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Authorized Official
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Title or Position | CEO
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Name | THEO OMO
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Credential |
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Telephone | 269-651-7841
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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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