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General NPI Number Information
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NPI Number | 1457757205
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE HOSPICE OF WESTERN MISSOURI LLC
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Dates
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Enumeration Date | 11/06/2014
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 19 E WALNUT ST STE I
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City | COLUMBIA
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State | MO
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Zip | 65203-4505
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Country | US
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Telephone | 636-349-2311
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Fax |
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Provider Business Mailing Address
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Address Line | 1749 GILSINN LN
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City | FENTON
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State | MO
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Zip | 63026-2008
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Country | US
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Telephone | 636-349-2311
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Fax | 636-349-6491
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Authorized Official
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Title or Position | CFO
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Name | GREG SCOTT SPENCE
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Credential |
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Telephone | 636-349-2311
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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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