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General NPI Number Information
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NPI Number | 1477575926
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Entity Type | Organization
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Legal Business Name | EAST END HOSPICE, INC
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 481 WESTHAMPTON-RIVERHEAD RD
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City | WESTHAMPTON BEACH
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State | NY
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Zip | 11978-7048
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Country | US
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Telephone | 631-288-8400
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Fax | 631-288-8492
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Provider Business Mailing Address
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Address Line | PO BOX 1048
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City | WESTHAMPTON BEACH
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State | NY
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Zip | 11978-7048
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Country | US
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Telephone | 631-288-8400
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Fax | 631-288-8492
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MARY CROSBY
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Credential | RN, MPH, CHPN
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Telephone | 631-288-8400
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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 | 5158500F
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License Number State | NY
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