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General NPI Number Information
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NPI Number | 1851706873
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Entity Type | Organization
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Legal Business Name | GRANE HOSPICE CARE, INC.
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Dates
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Enumeration Date | 06/28/2014
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 1012 W 9TH AVE STE 115
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-1093
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Country | US
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Telephone | 610-337-1721
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Fax | 610-265-1685
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Provider Business Mailing Address
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Address Line | 1012 W 9TH AVE STE 115
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-1093
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Country | US
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Telephone | 610-337-1721
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Fax | 610-265-1685
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Authorized Official
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Title or Position | SECRETARY
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Name | JAY KOEPER
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Credential |
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Telephone | 970-828-2210
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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 | 17651601
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License Number State | PA
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