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General NPI Number Information
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NPI Number | 1639935703
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Entity Type | Organization
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Legal Business Name | SOLACE HOSPICE LLC
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Dates
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Enumeration Date | 02/26/2024
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 1372 PEACHTREE ST NE # 213
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City | ATLANTA
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State | GA
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Zip | 30309-3203
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Country | US
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Telephone | 678-913-9814
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Fax |
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Provider Business Mailing Address
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Address Line | 1652 ABNER TER NW
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City | ATLANTA
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State | GA
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Zip | 30318-3435
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Country | US
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Telephone | 678-913-9814
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Fax |
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Authorized Official
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Title or Position | CHIEF MEDIA ORGANIZER
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Name | JOSHUA VENSON
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Credential |
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Telephone | 678-913-9814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number |
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License Number State |
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Taxonomy #2
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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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