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General NPI Number Information
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NPI Number | 1518071489
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Entity Type | Organization
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Legal Business Name | HOSPICE ADVANTAGE, LLC
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 3217 W M 76 STE B
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City | WEST BRANCH
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State | MI
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Zip | 48661
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Country | US
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Telephone | 989-345-1945
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Fax | 989-345-1947
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Provider Business Mailing Address
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Address Line | 10 CADILLAC DRIVE SUITE 400
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City | BRENTWOOD
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State | TN
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Zip | 37002-1001
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Country | US
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Telephone | 615-377-7022
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Fax | 615-373-4457
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Authorized Official
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Title or Position | SVP GENERAL COUNSEL
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Name | RUSSELL ADKINS
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Credential |
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Telephone | 615-309-5668
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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 | MI
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