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General NPI Number Information
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NPI Number | 1467601310
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Entity Type | Organization
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Legal Business Name | HOSPICE ADVANTAGE, INC.
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Dates
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Enumeration Date | 09/16/2008
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Last Update Date | 09/16/2008
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Provider Practice Location Address
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Address Line | 3325 BEHRENS PKWY
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City | SHEBOYGAN
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State | WI
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Zip | 53081-1255
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Country | US
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Telephone | 920-452-1851
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Fax |
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Provider Business Mailing Address
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Address Line | 401 CENTER AVE
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City | BAY CITY
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State | MI
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Zip | 48708-5939
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Country | US
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Telephone | 989-891-2206
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ANN HAHN
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Credential |
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Telephone | 920-452-1851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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