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General NPI Number Information
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NPI Number | 1972202158
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Entity Type | Organization
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Legal Business Name | GUARDIAN ANGELS HOSPICE & PALLIATIVE CARE LLC
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Dates
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Enumeration Date | 02/27/2023
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 6668 U S HIGHWAY 98 STE F
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City | HATTIESBURG
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State | MS
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Zip | 39402-7982
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Country | US
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Telephone | 601-336-7987
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Fax | 601-336-7994
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Provider Business Mailing Address
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Address Line | 4416 WAXWING ST
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City | HOSCHTON
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State | GA
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Zip | 30548-5539
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Country | US
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Telephone | 404-406-1129
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Fax | 601-336-7994
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Authorized Official
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Title or Position | OWNER
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Name | TIFFANY N EXPOSE
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Credential |
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Telephone | 404-406-1129
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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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