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General NPI Number Information
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NPI Number | 1366763724
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Entity Type | Organization
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Legal Business Name | ALBERT GALLATIN HOME CARE AND HOSPICE SERVICES, L.L.C.
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Dates
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Enumeration Date | 06/18/2010
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Last Update Date | 03/19/2015
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Provider Practice Location Address
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Address Line | 109 CROSSROADS RD SUITE 400
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City | SCOTTDALE
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State | PA
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Zip | 15683-2458
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Country | US
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Telephone | 724-887-3161
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Fax | 724-887-3548
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Provider Business Mailing Address
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Address Line | 5959 S SHERWOOD FOREST BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70816-6038
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Country | US
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Telephone | 225-292-2031
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Fax | 225-295-9678
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL B KUSSEROW
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Credential |
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Telephone | 225-292-2031
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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 | 154499
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License Number State | PA
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