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General NPI Number Information
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NPI Number | 1558907824
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Entity Type | Organization
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Legal Business Name | COMMUNITY HOSPICE, INC
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Dates
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Enumeration Date | 11/21/2019
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Last Update Date | 11/21/2019
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Provider Practice Location Address
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Address Line | 181 WEST RIVER VALLEY
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City | NEWAYGO
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State | MI
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Zip | 49337
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Country | US
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Telephone | 231-689-6675
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Fax | 231-689-5038
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Provider Business Mailing Address
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Address Line | 181 WEST RIVER VALLEY
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City | NEWAYGO
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State | MI
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Zip | 49337
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Country | US
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Telephone | 231-689-6675
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Fax | 231-689-5038
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LORI JO KORRECK
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Credential |
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Telephone | 231-689-6675
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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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