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General NPI Number Information
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NPI Number | 1942491964
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Entity Type | Organization
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Legal Business Name | TRANQUIL BLESSINGS HOSPICE, INC.
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 07/24/2008
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Provider Practice Location Address
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Address Line | 204 BRIGHTON DR
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City | CLINTON
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State | MS
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Zip | 39056-5439
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Country | US
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Telephone | 601-966-0703
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Fax | 601-925-4209
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Provider Business Mailing Address
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Address Line | 204 BRIGHTON DR
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City | CLINTON
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State | MS
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Zip | 39056-5439
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Country | US
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Telephone | 601-966-0703
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Fax | 601-925-4209
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Authorized Official
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Title or Position | CEO
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Name | MS. THRESA K. SMITH
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Credential |
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Telephone | 601-966-0703
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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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