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General NPI Number Information
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NPI Number | 1902014640
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Entity Type | Organization
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Legal Business Name | COASTAL HOSPICE INC
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 11/28/2022
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Provider Practice Location Address
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Address Line | 2604 OLD OCEAN CITY RD
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City | SALISBURY
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State | MD
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Zip | 21804-4629
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Country | US
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Telephone | 410-742-8732
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Fax | 410-548-5080
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Provider Business Mailing Address
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Address Line | PO BOX 1733
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City | SALISBURY
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State | MD
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Zip | 21802-1733
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Country | US
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Telephone | 410-742-8732
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Fax | 410-543-8213
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ALANE K CAPEN
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Credential |
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Telephone | 410-742-8732
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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 |
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License Number State |
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