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General NPI Number Information
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NPI Number | 1275536427
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Entity Type | Organization
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Legal Business Name | HOSPICE OF CLEVELAND COUNTY, INC.
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 951 WENDOVER HEIGHT DR
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City | SHELBY
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State | NC
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Zip | 28150-3565
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Country | US
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Telephone | 704-487-4677
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Fax | 704-481-8050
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Provider Business Mailing Address
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Address Line | 951 WENDOVER HEIGHT DR
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City | SHELBY
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State | NC
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Zip | 28150-3565
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Country | US
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Telephone | 704-487-4677
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Fax | 704-481-8050
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. PETER BRUNNICK
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Credential |
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Telephone | 704-355-3501
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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 |
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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 | HOS0371
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | HPC-065
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | HOS1413
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License Number State | NC
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