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General NPI Number Information
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NPI Number | 1497895551
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Entity Type | Organization
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Legal Business Name | L & L HOSPICE, INC.
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 423 A BEULAH
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City | TYLERTOWN
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State | MS
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Zip | 39667
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Country | US
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Telephone | 601-876-6169
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Fax | 601-876-6120
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Provider Business Mailing Address
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Address Line | 423 A BEULAH AVENUE
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City | TYLERTOWN
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State | MS
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Zip | 39667
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Country | US
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Telephone | 601-876-6169
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Fax | 601-876-6120
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Authorized Official
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Title or Position | OWNER
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Name | RUTHIE L. LEWIS
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Credential |
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Telephone | 601-876-6169
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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 | APPLIED FOR
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License Number State | MS
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