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General NPI Number Information
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NPI Number | 1801890892
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Entity Type | Organization
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Legal Business Name | HOSPICE OF DUBUQUE
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Dates
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Enumeration Date | 06/08/2005
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Last Update Date | 05/03/2011
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Provider Practice Location Address
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Address Line | 1670 JOHN F KENNEDY RD
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City | DUBUQUE
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State | IA
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Zip | 52002-5106
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Country | US
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Telephone | 563-582-1220
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Fax | 563-582-8089
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Provider Business Mailing Address
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Address Line | 1670 JOHN F KENNEDY RD
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City | DUBUQUE
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State | IA
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Zip | 52002-5106
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Country | US
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Telephone | 563-582-1220
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Fax | 563-582-8089
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LAVONNE NOEL
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Credential |
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Telephone | 563-582-1220
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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 | 2001618
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 562
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License Number State | WI
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Taxonomy #3
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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 | IA
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