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General NPI Number Information
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NPI Number | 1629204466
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Entity Type | Organization
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Legal Business Name | HOSPICE OF THE GORGE, INC.
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Dates
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Enumeration Date | 06/08/2009
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Last Update Date | 06/08/2009
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Provider Practice Location Address
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Address Line | 1630 WOODS CT
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City | HOOD RIVER
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State | OR
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Zip | 97031-2911
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Country | US
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Telephone | 541-387-6449
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Fax | 541-386-6700
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Provider Business Mailing Address
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Address Line | 1630 WOODS CT
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City | HOOD RIVER
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State | OR
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Zip | 97031-2911
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Country | US
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Telephone | 541-387-6449
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Fax | 541-386-6700
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | GRETCHEN HAGEN
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Credential | RN
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Telephone | 541-387-6449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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