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NPI 1730180605

NPI 1730180605 : ODYSSEY HEALTHCARE OPERATING A LP : INDIANAPOLIS, IN

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General NPI Number Information
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    NPI Number           |    1730180605
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    Entity Type          |    Organization 
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    Legal Business Name  |    ODYSSEY HEALTHCARE OPERATING A LP 
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Dates
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    Enumeration Date     |    08/02/2005
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    Last Update Date     |    08/07/2007
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Provider Practice Location Address
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    Address Line         |    5303 LAKEVIEW PARKWAY SOUTH DR 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46268-4113
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    Country              |    US
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    Telephone            |    317-299-5060
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    Fax                  |    317-299-5540
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Provider Business Mailing Address
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    Address Line         |    717 N HARWOOD ST SUITE 1500
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75201-6519
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    Country              |    US
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    Telephone            |    214-922-9711
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    Fax                  |    214-922-9752
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Authorized Official
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    Title or Position    |    SR VP & CFO
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    Name                 |    MR. RODNEY DIRK ALLISON 
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    Credential           |    
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    Telephone            |    214-922-9711
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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 |    IN
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