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General NPI Number Information
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NPI Number | 1811089709
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Entity Type | Organization
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Legal Business Name | HARBOR LIGHT HOSPICE LLC
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1000 W. CHOCTAW ROAD SUITE 15
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City | OKLAHOMA CITY
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State | OK
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Zip | 73018-2260
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Country | US
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Telephone | 405-224-3400
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Fax | 405-224-3412
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Provider Business Mailing Address
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Address Line | 1000 W. CHOCTAW ROAD SUITE 15
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City | OKLAHOMA CITY
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State | OK
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Zip | 73018-2260
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Country | US
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Telephone | 405-224-3400
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Fax | 405-224-3412
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | VIC SMITH
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Credential |
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Telephone | 405-224-3400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number |
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License Number State |
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