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General NPI Number Information
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NPI Number | 1760827042
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Entity Type | Organization
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Legal Business Name | PATHWAYS HOSPICE LLC
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 06/16/2015
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Provider Practice Location Address
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Address Line | 885 W. BAGLEY ROAD
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City | BEREA
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State | OH
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Zip | 44017
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Country | US
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Telephone | 440-835-2220
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Fax | 440-835-2224
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Provider Business Mailing Address
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Address Line | 885 W. BAGLEY ROAD
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City | BEREA
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State | OH
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Zip | 44017
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Country | US
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Telephone | 440-835-2220
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Fax | 440-835-2224
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | DAVID GLEN NOGGLE
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Credential |
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Telephone | 440-835-2220
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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 | 251G00000X
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License Number State | OH
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