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General NPI Number Information
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NPI Number | 1841345634
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Entity Type | Organization
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Legal Business Name | REVERENCE HOME HEALTH & HOSPICE, LLC
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 07/29/2019
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Provider Practice Location Address
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Address Line | 5445 ALI DR. DEPARTMENT 800
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City | GRAND BLANC
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State | MI
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Zip | 48439-5195
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Country | US
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Telephone | 888-246-6322
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Fax | 810-762-4110
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Provider Business Mailing Address
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Address Line | 5445 ALI DR. DEPARTMENT 800
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City | GRAND BLANC
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State | MI
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Zip | 48439-5195
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Country | US
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Telephone | 888-246-6322
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Fax | 810-762-4110
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Authorized Official
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Title or Position | VP REVENUE CYCLE
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Name | STEVEN SCOTT
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Credential |
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Telephone | 408-658-2768
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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 | 254028
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License Number State | MI
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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 |
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License Number State | MI
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