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General NPI Number Information
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NPI Number | 1871573766
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Entity Type | Organization
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Legal Business Name | COMMUNITY HOME HEALTH HOSPICE
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Dates
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Enumeration Date | 01/18/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1035 11TH AVE
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City | LONGVIEW
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State | WA
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Zip | 98632-2505
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Country | US
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Telephone | 360-425-8510
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Fax | 360-425-4667
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Provider Business Mailing Address
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Address Line | PO BOX 2067
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City | LONGVIEW
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State | WA
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Zip | 98632-8189
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Country | US
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Telephone | 360-425-8510
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Fax | 360-425-4667
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. GREG PANG
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Credential | MHA CHCE
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Telephone | 360-425-8510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | IS262
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 000031
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License Number State | WA
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