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General NPI Number Information
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NPI Number | 1407335706
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Entity Type | Organization
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Legal Business Name | CONSTELLATION HOSPICE PA, LLC
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Dates
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Enumeration Date | 08/08/2018
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 10125 VERREE RD
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City | PHILADELPHIA
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State | PA
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Zip | 19116-3611
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Country | US
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Telephone | 215-302-2003
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Fax | 215-941-7304
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Provider Business Mailing Address
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Address Line | 14 WESTPORT AVE
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City | NORWALK
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State | CT
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Zip | 06851-3915
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Country | US
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Telephone | 215-302-2003
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Fax | 215-941-7304
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Authorized Official
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Title or Position | CEO/AUTHORIZED OFFICICAL
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Name | YITZCHOK STEG
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Credential |
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Telephone | 888-895-7695
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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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