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General NPI Number Information
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NPI Number | 1902361504
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Entity Type | Organization
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Legal Business Name | SOLACE HOSPICE CARE LLC
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Dates
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Enumeration Date | 02/07/2019
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Last Update Date | 02/07/2019
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Provider Practice Location Address
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Address Line | 14010 MANCHESTER RD
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City | MANCHESTER
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State | MO
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Zip | 63011-4514
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Country | US
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Telephone | 636-220-4050
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Fax | 636-220-9266
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Provider Business Mailing Address
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Address Line | 14010 MANCHESTER RD
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City | MANCHESTER
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State | MO
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Zip | 63011-4514
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Country | US
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Telephone | 636-220-4050
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Fax | 636-220-9266
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MRS. LAUREN MARIE HADFIELD
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Credential |
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Telephone | 816-582-4320
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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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