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General NPI Number Information
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NPI Number | 1982694295
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Entity Type | Organization
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Legal Business Name | GUARDIAN HOSPICE, INC
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Dates
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Enumeration Date | 10/27/2005
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Last Update Date | 03/30/2011
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Provider Practice Location Address
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Address Line | 825 LITTLE FARMS AVE SUITE D
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City | METAIRIE
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State | LA
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Zip | 70003-5913
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Country | US
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Telephone | 504-737-2244
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Fax | 504-737-2245
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Provider Business Mailing Address
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Address Line | 825 LITTLE FARMS AVE SUITE D
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City | METAIRIE
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State | LA
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Zip | 70003-5913
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Country | US
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Telephone | 504-737-2244
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Fax | 504-737-2245
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | TRACEY MCCANN
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Credential | LCSW
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Telephone | 504-737-2244
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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 | 126
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 289
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License Number State | LA
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