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General NPI Number Information
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NPI Number | 1831645076
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Entity Type | Organization
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Legal Business Name | HRS HOSPICE, INC
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Dates
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Enumeration Date | 08/28/2016
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Last Update Date | 08/28/2016
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Provider Practice Location Address
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Address Line | 1806 S HIGHLAND AVE
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City | LOMBARD
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State | IL
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Zip | 60148-4933
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Country | US
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Telephone | 312-604-3742
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Fax |
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Provider Business Mailing Address
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Address Line | 1806 S. HIGHLAND AVE
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City | LOMBARD
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State | IL
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Zip | 60148-4933
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Country | US
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Telephone | 312-604-3742
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Fax |
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Authorized Official
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Title or Position | AGENCY DIRECTOR
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Name | DAVID CARTER
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Credential |
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Telephone | 312-604-3742
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 4000428
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License Number State | IL
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