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General NPI Number Information
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NPI Number | 1366497901
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Entity Type | Organization
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Legal Business Name | HOSPICE COMMUNITY CARE INC
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 601 WYOMING AVE
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City | KINGSTON
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State | PA
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Zip | 18704-3701
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Country | US
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Telephone | 570-288-2288
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Fax | 570-288-7424
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Provider Business Mailing Address
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Address Line | 601 WYOMING AVE
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City | KINGSTON
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State | PA
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Zip | 18704-3701
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Country | US
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Telephone | 570-288-2288
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Fax | 570-288-7424
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PHILIP G DECKER
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Credential |
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Telephone | 570-288-2288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 772605
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License Number State | PA
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