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General NPI Number Information
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NPI Number | 1336441542
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Entity Type | Organization
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Legal Business Name | GOD BLESSED HOSPICE
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Dates
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Enumeration Date | 11/19/2010
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Last Update Date | 11/19/2010
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Provider Practice Location Address
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Address Line | MANSIONES DE CABO ROJO E 78
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City | CABO ROJO
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State | PR
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Zip | 00623
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Country | US
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Telephone | 939-579-1901
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1123
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City | BOQUERON
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State | PR
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Zip | 00622-1123
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Country | US
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Telephone | 939-579-1901
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Fax | 787-254-0165
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Authorized Official
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Title or Position | PARTNER
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Name | MRS. JEANETTE PABON
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Credential |
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Telephone | 939-579-1901
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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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