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General NPI Number Information
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NPI Number | 1760364095
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Entity Type | Organization
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Legal Business Name | BETHANY HOSPICE, LLC
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Dates
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Enumeration Date | 07/25/2025
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 3202 COLBY AVE STE A
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City | EVERETT
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State | WA
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Zip | 98201-4324
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Country | US
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Telephone | 425-526-5842
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Fax | 425-526-5842
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Provider Business Mailing Address
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Address Line | PO BOX 13700
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City | MILL CREEK
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State | WA
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Zip | 98082-1700
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Country | US
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Telephone | 425-526-7174
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Fax | 425-526-5842
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LORI HEALY
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Credential |
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Telephone | 425-344-2253
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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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