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General NPI Number Information
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NPI Number | 1992754436
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Entity Type | Organization
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Legal Business Name | HOSPICE OF CUMBERLAND COUNTY, INC.
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 30 E ADAMS ST
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City | CROSSVILLE
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State | TN
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Zip | 38555-4802
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Country | US
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Telephone | 931-484-4748
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Fax | 931-456-7882
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Provider Business Mailing Address
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Address Line | 30 E ADAMS ST
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City | CROSSVILLE
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State | TN
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Zip | 38555-4802
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Country | US
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Telephone | 931-484-4748
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Fax | 931-456-7882
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. PATRICK CASH
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Credential |
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Telephone | 931-484-4748
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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 | 100226882
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License Number State | TN
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