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General NPI Number Information
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NPI Number | 1942362207
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Entity Type | Organization
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Legal Business Name | HOSPICE OF GARRETT COUNTY, INC.
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 02/21/2024
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Provider Practice Location Address
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Address Line | 203 S 2ND ST
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City | OAKLAND
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State | MD
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Zip | 21550-1551
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Country | US
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Telephone | 301-334-5151
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Fax | 301-334-5800
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Provider Business Mailing Address
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Address Line | 203 S SECOND STREET PO BOX 271
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City | OAKLAND
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State | MD
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Zip | 21550-2022
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Country | US
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Telephone | 301-334-5151
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Fax | 301-334-5800
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DONNA J BRENNEMAN
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Credential |
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Telephone | 301-334-5151
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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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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 | H1535
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License Number State | MD
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