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General NPI Number Information
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NPI Number | 1679660153
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Entity Type | Organization
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Legal Business Name | LEXINGTON HOSPICE SERVICES LLC
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 665 W NORTH AVE STE 100
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City | LOMBARD
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State | IL
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Zip | 60148-1134
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Country | US
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Telephone | 630-748-3652
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Fax | 630-748-3743
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Provider Business Mailing Address
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Address Line | 665 W NORTH AVE STE 100
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City | LOMBARD
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State | IL
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Zip | 60148-1134
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Country | US
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Telephone | 630-748-3700
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Fax | 630-748-3701
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Authorized Official
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Title or Position | CEO
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Name | MR. HEATH BARTNESS
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Credential |
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Telephone | 651-328-6914
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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 | 2002467
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License Number State | IL
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