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General NPI Number Information
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NPI Number | 1801037569
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Entity Type | Organization
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Legal Business Name | ANGELS OF THE HEART HOSPICE, LLC
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Dates
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Enumeration Date | 03/10/2009
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Last Update Date | 01/25/2011
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Provider Practice Location Address
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Address Line | 8045 W US HIGHWAY 36
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City | COATESVILLE
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State | IN
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Zip | 46121-9010
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Country | US
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Telephone | 317-539-2200
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Fax | 317-539-2201
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Provider Business Mailing Address
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Address Line | PO BOX 128
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City | COATESVILLE
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State | IN
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Zip | 46121-0128
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Country | US
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Telephone | 317-539-2200
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Fax | 317-539-2201
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Authorized Official
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Title or Position | OWNER
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Name | MS. MELISSA ANN CRUMRIN
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Credential |
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Telephone | 317-840-4236
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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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