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General NPI Number Information
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NPI Number | 1891841482
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Entity Type | Organization
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Legal Business Name | PRIMROSE HOSPICE INC.
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 02/13/2013
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Provider Practice Location Address
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Address Line | 286 N GATEWAY DR STE 101
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City | PROVIDENCE
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State | UT
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Zip | 84332-5602
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Country | US
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Telephone | 435-787-1369
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Fax |
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Provider Business Mailing Address
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Address Line | 286 N GATEWAY DR STE 101
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City | PROVIDENCE
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State | UT
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Zip | 84332-5602
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Country | US
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Telephone | 435-787-1369
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. MARK C STOKES
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Credential |
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Telephone | 435-787-1369
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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 | UT
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