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General NPI Number Information
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NPI Number | 1952114001
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Entity Type | Organization
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Legal Business Name | HEART N SOUL HOSPICE ARKANSAS LLC
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Dates
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Enumeration Date | 01/30/2025
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 203 W MOULTRIE DR
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City | BLYTHEVILLE
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State | AR
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Zip | 72315-1812
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Country | US
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Telephone | 678-333-7880
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Fax |
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Provider Business Mailing Address
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Address Line | 51 CENTURY BLVD STE 110
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City | NASHVILLE
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State | TN
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Zip | 37214-3614
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Country | US
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Telephone | 678-333-7880
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Fax |
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Authorized Official
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Title or Position | COO
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Name | TRACY LYNELL WOOD
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Credential |
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Telephone | 678-333-7880
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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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