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General NPI Number Information
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NPI Number | 1932137809
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Entity Type | Organization
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Legal Business Name | HEART OF THE MOUNTAINS VOLUNTEER HOSPICE, INC.
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 03/15/2011
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Provider Practice Location Address
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Address Line | 613 FIRST STREET
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City | HOT SULPHUR SPRINGS
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State | CO
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Zip | 80451-0140
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Country | US
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Telephone | 970-725-3378
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Fax | 970-725-3378
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Provider Business Mailing Address
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Address Line | PO BOX 140
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City | HOT SULPHUR SPRINGS
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State | CO
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Zip | 80451-0140
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Country | US
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Telephone | 970-725-3378
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Fax | 970-725-3378
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. JOAN GASKINS
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Credential | MBA
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Telephone | 970-725-3378
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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 | CO
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