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General NPI Number Information
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NPI Number | 1700885571
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Entity Type | Organization
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Legal Business Name | HOSPICE CARE OF THE EASTERN SHORE, INC.
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 18469 DUNNE AVE
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City | PARKSLEY
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State | VA
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Zip | 23421-0316
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Country | US
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Telephone | 757-665-4895
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Fax | 757-665-1171
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Provider Business Mailing Address
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Address Line | PO BOX 316 18469 DUNNE AVE
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City | PARKSLEY
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State | VA
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Zip | 23421-0316
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Country | US
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Telephone | 757-665-4895
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Fax | 757-665-1171
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Authorized Official
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Title or Position | DIRECTOR OF ADMINISTRATIVE OPERATIO
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Name | MS. LYNNE MARDAN LINDSAY
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Credential |
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Telephone | 757-665-4895
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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 | 05110-15
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License Number State | VA
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