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General NPI Number Information
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NPI Number | 1578081576
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Entity Type | Organization
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Legal Business Name | PEACEFUL PURPOSE HOSPICE
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Dates
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Enumeration Date | 08/30/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 106A N JEFFERSON AVE
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City | EATONTON
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State | GA
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Zip | 31024-1020
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Country | US
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Telephone | 706-991-5444
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Fax |
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Provider Business Mailing Address
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Address Line | 106A N JEFFERSON AVE
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City | EATONTON
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State | GA
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Zip | 31024-1020
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Country | US
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Telephone | 706-991-5444
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF CLINICAL SERVICES
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Name | KIMBERLY SHERELL FARLEY
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Credential | MSN, RN
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Telephone | 404-435-0085
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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 | GA
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