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General NPI Number Information
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NPI Number | 1154954014
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Entity Type | Organization
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Legal Business Name | DOVE HOSPICE SERVICES OF PENNSYLVANIA LLC
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Dates
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Enumeration Date | 02/19/2020
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Last Update Date | 02/02/2021
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Provider Practice Location Address
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Address Line | 325 SENTRY PKWY E BLDG 5
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City | BLUE BELL
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State | PA
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Zip | 19422-2312
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Country | US
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Telephone | 215-740-6898
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Fax | 215-555-1212
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Provider Business Mailing Address
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Address Line | 5 SENTRY PKWY E STE 200
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City | BLUE BELL
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State | PA
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Zip | 19422-2307
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Country | US
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Telephone | 215-383-5922
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Fax | 267-405-9014
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Authorized Official
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Title or Position | COO
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Name | PEGGY I BERTELS
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Credential |
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Telephone | 732-547-9436
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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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