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General NPI Number Information
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NPI Number | 1124419155
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Entity Type | Organization
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Legal Business Name | HOSPICE OF CRAWFORD COUNTY, INC.
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Dates
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Enumeration Date | 02/12/2015
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 766 LIBERTY ST
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City | MEADVILLE
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State | PA
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Zip | 16335-2555
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Country | US
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Telephone | 814-333-5403
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Fax | 814-333-5407
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Provider Business Mailing Address
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Address Line | 766 LIBERTY ST
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City | MEADVILLE
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State | PA
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Zip | 16335-2555
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Country | US
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Telephone | 814-333-5403
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Fax | 814-333-5407
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Authorized Official
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Title or Position | FINANCIAL SPECIAL PROJECTS COORDINA
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Name | MISS NANCY O PIERCE
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Credential |
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Telephone | 814-373-2997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | 154099
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License Number State | PA
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