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General NPI Number Information
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NPI Number | 1902633209
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Entity Type | Organization
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Legal Business Name | HOSPICE OF DARKE COUNTY INC
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Dates
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Enumeration Date | 09/19/2024
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 1350 N BROADWAY ST
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City | GREENVILLE
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State | OH
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Zip | 45331-2461
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Country | US
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Telephone | 800-417-7535
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Fax | 937-548-7144
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Provider Business Mailing Address
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Address Line | 1350 N BROADWAY ST
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City | GREENVILLE
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State | OH
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Zip | 45331-2461
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Country | US
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Telephone | 800-417-7535
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Fax | 937-548-7144
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | JEREMY P BAILEY
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Credential |
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Telephone | 937-316-0008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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