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General NPI Number Information
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NPI Number | 1902617863
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Entity Type | Organization
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Legal Business Name | TRUE BLUE HOSPICE, LLC.
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Dates
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Enumeration Date | 01/18/2025
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Last Update Date | 01/18/2025
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Provider Practice Location Address
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Address Line | 310 FREEWALT WAY
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City | SAINT MARYS
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State | OH
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Zip | 45885-1201
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Country | US
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Telephone | 419-305-3414
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Fax | 419-300-3414
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Provider Business Mailing Address
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Address Line | 310 FREEWALT WAY
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City | SAINT MARYS
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State | OH
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Zip | 45885-1201
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Country | US
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Telephone | 419-305-3414
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Fax | 419-300-3414
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | TAMMY LYNNE KILL
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Credential | MSN, RN
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Telephone | 567-204-2615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Emergency Medicine) Physician
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License Number |
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License Number State |
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