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General NPI Number Information
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NPI Number | 1760882963
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Entity Type | Organization
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Legal Business Name | CHS HOSPICE & PALLIATIVE CARE SERVICES LLC
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Dates
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Enumeration Date | 08/26/2014
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 856 S. RIVERSIDE DRIVE SUITE 101
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City | MCCONNELLSVILLE
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State | OH
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Zip | 43756-9102
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Country | US
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Telephone | 740-281-2243
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Fax | 740-616-8017
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Provider Business Mailing Address
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Address Line | 5990 VENTURE DR. SUITE A
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City | DUBLIN
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State | OH
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Zip | 43017
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Country | US
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Telephone | 740-281-2243
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Fax | 740-616-8017
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Authorized Official
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Title or Position | GENERAL COUNSEL
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Name | BENJAMIN J PARSON
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Credential | JD
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Telephone | 216-772-3192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number |
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License Number State | OH
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Taxonomy #4
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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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