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General NPI Number Information
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NPI Number | 1649587650
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Entity Type | Organization
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Legal Business Name | GENTLE CARE HOSPICE LLC
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Dates
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Enumeration Date | 09/13/2010
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Last Update Date | 12/10/2014
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Provider Practice Location Address
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Address Line | 8311 TWO NOTCH RD
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City | COLUMBIA
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State | SC
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Zip | 29223-6303
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Country | US
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Telephone | 803-708-2405
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Fax | 803-708-2415
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Provider Business Mailing Address
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Address Line | 8311 TWO NOTCH RD
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City | COLUMBIA
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State | SC
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Zip | 29223-5946
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Country | US
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Telephone | 803-708-2405
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Fax | 803-708-2415
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Authorized Official
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Title or Position | CEO
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Name | MRS. PASCALE LOUIS-JEAN
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Credential |
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Telephone | 803-553-9104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | HPC-0154
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License Number State | SC
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