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General NPI Number Information
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NPI Number | 1912081217
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Entity Type | Organization
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Legal Business Name | COMMUNITY CARE HOSPICE LLC
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1007 W THOMAS ST SUITE A
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City | HAMMOND
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State | LA
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Zip | 70401-3062
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Country | US
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Telephone | 985-340-1880
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Fax | 985-340-7872
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Provider Business Mailing Address
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Address Line | 1007 W THOMAS ST SUITE A
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City | HAMMOND
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State | LA
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Zip | 70401-3062
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Country | US
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Telephone | 985-340-1880
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Fax | 985-340-7872
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHANNON DILLON
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Credential |
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Telephone | 985-340-1880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number |
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License Number State |
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