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General NPI Number Information
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NPI Number | 1508829821
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Entity Type | Organization
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Legal Business Name | HOSPICE OF THE PRAIRIE, INC.
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Dates
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Enumeration Date | 04/08/2006
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Last Update Date | 03/30/2009
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Provider Practice Location Address
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Address Line | 200 4TH CIR
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City | DODGE CITY
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State | KS
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Zip | 67801-2400
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Country | US
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Telephone | 620-227-7209
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Fax | 620-227-7429
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Provider Business Mailing Address
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Address Line | 200 4TH CIR
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City | DODGE CITY
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State | KS
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Zip | 67801-2400
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Country | US
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Telephone | 620-227-7209
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Fax | 620-227-7429
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Authorized Official
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Title or Position | ACCOUNTING
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Name | TONYA R MAIER
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Credential |
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Telephone | 620-227-7209
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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 | A029005
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License Number State | KS
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