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General NPI Number Information
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NPI Number | 1851608863
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Entity Type | Organization
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Legal Business Name | HOSPICE ADVANTAGE, LLC.
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Dates
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Enumeration Date | 09/13/2010
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Last Update Date | 03/02/2015
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Provider Practice Location Address
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Address Line | 6585 E COLLEGE ST
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City | WRIGHTSVILLE
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State | GA
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Zip | 31096-2121
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Country | US
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Telephone | 478-864-8118
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Fax | 478-864-8115
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Provider Business Mailing Address
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Address Line | 401 CENTER AVE
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City | BAY CITY
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State | MI
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Zip | 48708-5939
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Country | US
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Telephone | 989-891-2206
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Fax | 989-893-5268
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Authorized Official
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Title or Position | PRESIDENT
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Name | RODNEY HILDEBRANT
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Credential |
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Telephone | 989-891-2210
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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 |
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License Number State |
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