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General NPI Number Information
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NPI Number | 1851470157
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Entity Type | Organization
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Legal Business Name | FAMILY HOSPICE OF NORTHEAST INDIANA INC
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 01/12/2017
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Provider Practice Location Address
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Address Line | 108 S JEFFERSON ST
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City | BERNE
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State | IN
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Zip | 46711-2118
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Country | US
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Telephone | 260-589-8598
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Fax | 260-589-8079
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Provider Business Mailing Address
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Address Line | 108 S JEFFERSON ST
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City | BERNE
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State | IN
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Zip | 46711-2118
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Country | US
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Telephone | 260-589-8598
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Fax | 260-589-8079
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Authorized Official
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Title or Position | CEO
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Name | SUEANN MCDONNA REYNOLDS
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Credential |
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Telephone | 260-589-8598
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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 | 060102121
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License Number State | IN
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