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General NPI Number Information
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NPI Number | 1972211290
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Entity Type | Organization
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Legal Business Name | REMEMBRANCE HOSPICE LLC
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Dates
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Enumeration Date | 11/07/2022
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 3725 MEDINA RD STE 113
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City | MEDINA
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State | OH
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Zip | 44256-5301
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Country | US
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Telephone | 330-952-1930
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Fax |
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Provider Business Mailing Address
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Address Line | 3725 MEDINA RD STE 113
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City | MEDINA
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State | OH
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Zip | 44256-5301
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Country | US
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Telephone | 330-952-1930
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Fax |
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Authorized Official
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Title or Position | BUSINESS OPERATIONS ANALYST
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Name | ALISHA THOBURN
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Credential |
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Telephone | 330-416-7307
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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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