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General NPI Number Information
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NPI Number | 1659085744
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Entity Type | Organization
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Legal Business Name | AXIOM HOSPICE LLC
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Dates
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Enumeration Date | 01/12/2023
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Last Update Date | 01/12/2023
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Provider Practice Location Address
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Address Line | 12815 NORTHLINE RD
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City | SOUTHGATE
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State | MI
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Zip | 48195-1109
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Country | US
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Telephone | 734-324-3166
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Fax | 866-422-4071
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Provider Business Mailing Address
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Address Line | 12815 NORTHLINE RD
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City | SOUTHGATE
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State | MI
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Zip | 48195-1109
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Country | US
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Telephone | 734-324-3166
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Fax | 866-422-4071
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Authorized Official
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Title or Position | OWNER
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Name | IMRAN A KHAN
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Credential |
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Telephone | 734-324-3166
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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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