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NPI 1518962828

NPI 1518962828 : HOSPICE OF GUERNSEY INC : CAMBRIDGE, OH

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General NPI Number Information
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    NPI Number           |    1518962828
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOSPICE OF GUERNSEY INC 
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Dates
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    Enumeration Date     |    06/15/2005
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    Last Update Date     |    01/28/2025
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Provider Practice Location Address
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    Address Line         |    9711 E PIKE RD 
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    City                 |    CAMBRIDGE
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    State                |    OH
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    Zip                  |    43725-8936
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    Country              |    US
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    Telephone            |    740-432-7440
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    Fax                  |    740-432-7424
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1165 
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    City                 |    CAMBRIDGE
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    State                |    OH
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    Zip                  |    43725-6165
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    Country              |    US
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    Telephone            |    740-432-7440
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    Fax                  |    740-432-7424
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     LORRAINE  TEAGUE 
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    Credential           |    RN
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    Telephone            |    740-432-7440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207PH0002X
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    Taxonomy Name        |    Hospice and Palliative Medicine (Emergency Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207QH0002X
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    Taxonomy Name        |    Hospice and Palliative Medicine (Family Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    2086H0002X
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    Taxonomy Name        |    Hospice and Palliative Medicine (Surgery) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    251G00000X
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    Taxonomy Name        |    Community Based Hospice Care Agency
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    License Number       |    0019HSP
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    License Number State |    OH
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