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General NPI Number Information
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NPI Number | 1427763721
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Entity Type | Organization
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Legal Business Name | CORSOCARE HOSPICE OF OHIO LLC
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Dates
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Enumeration Date | 01/20/2023
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Last Update Date | 01/20/2023
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Provider Practice Location Address
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Address Line | 8230 PITTSBURG AVE NW STE 1440
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City | NORTH CANTON
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State | OH
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Zip | 44720-5619
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Country | US
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Telephone | 866-257-9773
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Fax |
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Provider Business Mailing Address
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Address Line | 950 CORPORATE OFFICE DR STE 150
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City | MILFORD
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State | MI
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Zip | 48381-5004
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Country | US
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Telephone | 248-438-1507
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LORI APPLE
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Credential |
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Telephone | 248-302-0899
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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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