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General NPI Number Information
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NPI Number | 1467763011
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Entity Type | Organization
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Legal Business Name | PROMISE HOSPICE LLC
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Dates
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Enumeration Date | 06/29/2010
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 121 N MAIN ST STE 310
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City | GREENSBURG
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State | PA
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Zip | 15601-2408
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Country | US
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Telephone | 724-515-5251
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Fax | 724-382-4312
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Provider Business Mailing Address
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Address Line | 13480 ROUTE 30 SUITE B
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City | NORTH HUNTINGDON
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State | PA
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Zip | 15642-1134
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Country | US
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Telephone | 724-515-5251
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | ELIZABETH MCGOUGH
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Credential | MSW
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Telephone | 724-515-5251
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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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