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General NPI Number Information
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NPI Number | 1598864084
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Entity Type | Organization
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Legal Business Name | SOUTHERN GRACE HOSPICE SOUTH LLC
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 3621 RIDGELAKE DRIVE SUITE 305
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City | METAIRIE
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State | LA
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Zip | 70002-1739
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Country | US
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Telephone | 504-274-1942
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Fax | 504-274-1943
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Provider Business Mailing Address
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Address Line | 9256 INTERLINE AVENUE
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City | BATON ROUGE
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State | LA
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Zip | 70809-1907
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Country | US
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Telephone | 225-218-8009
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Fax | 225-237-1170
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Authorized Official
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Title or Position | ACCOUNTING MANAGER
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Name | DIANNE TROXCLAIR
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Credential |
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Telephone | 225-218-8009
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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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