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General NPI Number Information
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NPI Number | 1740347335
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Entity Type | Organization
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Legal Business Name | NEW-ERA HOSPICE, LLC
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 04/26/2012
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Provider Practice Location Address
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Address Line | 8869 CENTRE ST 3 & 4
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City | SOUTHAVEN
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State | MS
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Zip | 38671-1725
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Country | US
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Telephone | 662-342-7023
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Fax | 662-342-7089
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Provider Business Mailing Address
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Address Line | PO BOX 1229
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City | SOUTHAVEN
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State | MS
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Zip | 38671-0112
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Country | US
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Telephone | 662-342-7023
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Fax |
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Authorized Official
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Title or Position | CEO/ADMINISTRATOR
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Name | MS. NGOZI EDMUNDS
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Credential |
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Telephone | 662-342-7023
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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 | 145
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License Number State | MS
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