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General NPI Number Information
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NPI Number | 1801992276
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Entity Type | Organization
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Legal Business Name | INFINITY HOSPICE, LLC
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 01/22/2008
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Provider Practice Location Address
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Address Line | 206 N VAN BUREN ST
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City | CARTHAGE
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State | MS
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Zip | 39051-3746
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Country | US
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Telephone | 601-298-0060
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Fax | 601-298-0065
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Provider Business Mailing Address
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Address Line | PO BOX 186
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City | SEBASTOPOL
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State | MS
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Zip | 39359-0186
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Country | US
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Telephone | 601-298-0060
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Fax | 601-298-0065
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. STEPHEN FORREST ADCOCK
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Credential |
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Telephone | 601-298-0060
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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 | 144
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License Number State | MS
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