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General NPI Number Information
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NPI Number | 1184608598
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Entity Type | Organization
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Legal Business Name | HOSPICE OF THE CHESAPEAKE, INC
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 4559 SIXES RD
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City | PRINCE FREDERICK
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State | MD
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Zip | 20678-5739
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Country | US
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Telephone | 443-837-1519
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Fax |
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Provider Business Mailing Address
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Address Line | 4559 SIXES RD
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City | PRINCE FREDERICK
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State | MD
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Zip | 20678-5739
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Country | US
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Telephone | 410-535-0892
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Fax | 410-535-5677
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | GERALD MICHAEL HILL
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Credential |
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Telephone | 667-210-9253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State |
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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 | H1521
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License Number State | MD
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