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General NPI Number Information
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NPI Number | 1942320262
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Entity Type | Organization
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Legal Business Name | ALLIANCE HOSPICE, INC
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 11/03/2015
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Provider Practice Location Address
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Address Line | 909 S. FULTON STREET
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City | CORINTH
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State | MS
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Zip | 38834
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Country | US
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Telephone | 662-286-9833
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Fax | 662-286-9939
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Provider Business Mailing Address
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Address Line | 909 S. FULTON STREET
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City | CORINTH
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State | MS
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Zip | 38834
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Country | US
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Telephone | 662-286-9833
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Fax | 662-286-9939
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | APRIL M MOORE
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Credential | LSW
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Telephone | 662-286-9833
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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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