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General NPI Number Information
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NPI Number | 1801990122
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Entity Type | Organization
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Legal Business Name | CONCORDIA HOSPICE OF WASHINGTON
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 10 LEET ST
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City | WASHINGTON
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State | PA
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Zip | 15301-3382
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Country | US
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Telephone | 724-250-4500
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Fax | 724-250-4558
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Provider Business Mailing Address
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Address Line | 10 LEET ST
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City | WASHINGTON
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State | PA
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Zip | 15301-3382
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Country | US
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Telephone | 724-250-4500
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Fax | 724-250-4558
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Authorized Official
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Title or Position | ADMINISTRATOR/EXECUTIVE DIRECTOR
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Name | MR. MENA LOUISE
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Credential |
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Telephone | 247-250-4500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number | 151999
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License Number State | PA
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