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General NPI Number Information
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NPI Number | 1376853382
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Entity Type | Organization
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Legal Business Name | HOSPICE FOR ALL SEASONS
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Dates
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Enumeration Date | 10/12/2010
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Last Update Date | 02/24/2015
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Provider Practice Location Address
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Address Line | 280 S HILL DR
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City | GRANTVILLE
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State | PA
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Zip | 17028-8523
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Country | US
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Telephone | 717-234-2555
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Fax | 717-238-3190
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Provider Business Mailing Address
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Address Line | 280 S HILL DR
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City | GRANTVILLE
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State | PA
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Zip | 17028-8523
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Country | US
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Telephone | 717-234-2555
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Fax | 717-238-3190
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Authorized Official
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Title or Position | CEO
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Name | LISA RENEE DEORNELLAS
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Credential | RN, CHPN
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Telephone | 717-234-2555
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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 | PA
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