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General NPI Number Information
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NPI Number | 1609292978
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Entity Type | Organization
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Legal Business Name | VIAQUEST HOSPICE OF INDIANA, LLV
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Dates
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Enumeration Date | 03/11/2014
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Last Update Date | 03/11/2014
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Provider Practice Location Address
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Address Line | 5 N 10TH ST
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City | LAFAYETTE
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State | IN
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Zip | 47901-1595
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Country | US
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Telephone | 812-473-0100
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Fax |
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Provider Business Mailing Address
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Address Line | 525 METRO PL N STE 300
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City | DUBLIN
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State | OH
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Zip | 43017-5320
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF TREASURY/REIMBURSEMENT
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Name | NANCY SWARTWOOD
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Credential |
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Telephone | 614-339-0814
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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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