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General NPI Number Information
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NPI Number | 1861198582
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Entity Type | Organization
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Legal Business Name | YOUR BUTTERFLY HOSPICE LLC
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Dates
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Enumeration Date | 02/03/2023
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Last Update Date | 05/17/2023
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Provider Practice Location Address
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Address Line | 3610 W LAMONT RD
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City | MERIDIAN
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State | ID
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Zip | 83642-6430
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Country | US
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Telephone | 208-391-7811
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Fax | 208-493-9900
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Provider Business Mailing Address
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Address Line | 3610 W LAMONT RD
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City | MERIDIAN
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State | ID
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Zip | 83642-6430
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Country | US
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Telephone | 208-391-7811
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Fax | 208-493-9900
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Authorized Official
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Title or Position | ADMIN
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Name | MAKENNA FOSTER
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Credential | RN
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Telephone | 208-780-9998
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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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