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General NPI Number Information
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NPI Number | 1457587644
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Entity Type | Organization
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Legal Business Name | HEALTH CARE OPTIONS HOSPICE OF MISSISSIPPI LLC
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Dates
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Enumeration Date | 06/02/2009
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Last Update Date | 03/30/2011
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Provider Practice Location Address
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Address Line | 2941 TERRY RD SUITE 1
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City | JACKSON
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State | MS
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Zip | 39212-3073
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Country | US
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Telephone | 769-216-3210
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Fax | 769-216-3211
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Provider Business Mailing Address
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Address Line | 2941 TERRY RD
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City | JACKSON
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State | MS
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Zip | 39212-3073
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Country | US
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Telephone | 769-216-3210
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Fax | 769-216-3211
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Authorized Official
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Title or Position | CEO
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Name | MRS. ANNETTE AUSTIN
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Credential | RN
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Telephone | 225-261-0160
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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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