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General NPI Number Information
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NPI Number | 1427473362
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Entity Type | Organization
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Legal Business Name | BEYOND HOSPICE CARE INC.
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Dates
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Enumeration Date | 03/01/2014
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Last Update Date | 10/27/2016
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Provider Practice Location Address
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Address Line | 7164 CHERRYVALE NORTH BLVD SUITE B1
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City | ROCKFORD
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State | IL
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Zip | 61112-1061
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Country | US
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Telephone | 815-580-8159
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Fax | 815-580-8228
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Provider Business Mailing Address
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Address Line | 7164 CHERRYVALE NORTH BLVD SUITE B1
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City | ROCKFORD
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State | IL
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Zip | 61112-1061
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Country | US
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Telephone | 815-580-8159
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Fax | 815-580-8228
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Authorized Official
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Title or Position | ADMINISTRATOR DESIGNEE/CFO
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Name | MARIBEL A CABRERA
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Credential | R.N.
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Telephone | 224-367-9498
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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 | 2003106
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License Number State | IL
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