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General NPI Number Information
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NPI Number | 1861536252
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Entity Type | Organization
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Legal Business Name | LOCAL HOSPICE, INC.
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Dates
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Enumeration Date | 02/18/2007
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Last Update Date | 12/17/2008
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Provider Practice Location Address
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Address Line | 100 E. CHOCTAW AVE SUITE A
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City | SALLISAW
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State | OK
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Zip | 74955-4607
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Country | US
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Telephone | 918-790-2277
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Fax | 918-790-2279
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Provider Business Mailing Address
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Address Line | 100 E CHOCTAW AVE SUITE A
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City | SALLISAW
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State | OK
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Zip | 74955-4607
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Country | US
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Telephone | 918-790-2277
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Fax | 918-790-2279
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Authorized Official
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Title or Position | SECRETARY - TREASURER
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Name | MRS. MELINDA L MARTIN
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Credential |
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Telephone | 918-790-2277
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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 | 4242
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License Number State | OK
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