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NPI 1124025697

NPI 1124025697 : HOSPICE OF THE PANHANDLE, INC. : KEARNEYSVILLE, WV

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General NPI Number Information
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    NPI Number           |    1124025697
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOSPICE OF THE PANHANDLE, INC. 
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Dates
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    Enumeration Date     |    06/30/2005
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    Last Update Date     |    08/20/2025
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Provider Practice Location Address
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    Address Line         |    330 HOSPICE LN 
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    City                 |    KEARNEYSVILLE
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    State                |    WV
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    Zip                  |    25430-4547
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    Country              |    US
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    Telephone            |    304-264-0406
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    Fax                  |    304-264-0409
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Provider Business Mailing Address
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    Address Line         |    330 HOSPICE LN 
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    City                 |    KEARNEYSVILLE
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    State                |    WV
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    Zip                  |    25430-4547
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    Country              |    US
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    Telephone            |    304-264-0406
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    Fax                  |    304-264-0409
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     ANNLEY NICOLE BIGIARELLI 
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    Credential           |    
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    Telephone            |    304-264-0406
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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       |    07
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    License Number State |    WV
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