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General NPI Number Information
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NPI Number | 1457077885
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Entity Type | Organization
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Legal Business Name | CARE ONE HOSPICE INC
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Dates
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Enumeration Date | 10/18/2022
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Last Update Date | 10/20/2022
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Provider Practice Location Address
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Address Line | 3597 E MONARCH SKY LN F240 STE 233
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City | MERIDIAN
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State | ID
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Zip | 83646
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Country | US
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Telephone | 208-202-1009
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Fax |
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Provider Business Mailing Address
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Address Line | 3597 E MONARCH SKY LN F240 STE 233
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City | MERIDIAN
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State | ID
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Zip | 83646
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ANDY KECHEJIAN
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Credential |
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Telephone | 208-202-1009
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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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