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General NPI Number Information
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NPI Number | 1154210839
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Entity Type | Organization
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Legal Business Name | METHUSELAH HOSPICE LLC
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 03/14/2026
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Provider Practice Location Address
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Address Line | 16051 COMPRINT CIRCLE
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City | GAITHERSBURG
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State | MD
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Zip | 20877-2356
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Country | US
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Telephone | 571-206-1650
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Fax | 703-662-6165
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Provider Business Mailing Address
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Address Line | 4216 EVERGEEN LANE STE 125
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City | ANNANDALE
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State | VA
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Zip | 22003-3256
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Country | US
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Telephone | 240-284-9501
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Fax | 240-427-9710
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Authorized Official
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Title or Position | OWNER
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Name | JIHO CHOI
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Credential | MD
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Telephone | 301-893-4568
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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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