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General NPI Number Information
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NPI Number | 1750221719
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Entity Type | Organization
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Legal Business Name | KENAI PENINSULA HOSPICE LLC
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 44096 STERLING HWY STE E
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City | SOLDOTNA
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State | AK
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Zip | 99669-8063
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Country | US
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Telephone | 907-260-4444
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Fax | 907-331-0490
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Provider Business Mailing Address
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Address Line | 44096 STERLING HWY STE E
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City | SOLDOTNA
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State | AK
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Zip | 99669-8063
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Country | US
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Telephone | 907-260-4444
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Fax | 907-331-0490
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | VANESSA L SHANAHAN
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Credential |
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Telephone | 907-740-3999
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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 |
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License Number State |
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