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General NPI Number Information
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NPI Number | 1003892977
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Entity Type | Organization
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Legal Business Name | HOSPICE & PALLIATIVE CARE OF THE OHIO VALLEY, INC
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Dates
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Enumeration Date | 12/21/2005
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Last Update Date | 01/28/2020
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Provider Practice Location Address
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Address Line | 3419 WATHENS XING
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City | OWENSBORO
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State | KY
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Zip | 42301-7009
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Country | US
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Telephone | 270-926-7565
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Fax | 270-685-0516
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Provider Business Mailing Address
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Address Line | 3419 WATHENS XING
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City | OWENSBORO
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State | KY
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Zip | 42301-7009
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Country | US
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Telephone | 270-926-7565
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Fax | 270-685-0516
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. BELINDA BLAIR
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Credential |
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Telephone | 270-926-7565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 400005
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License Number State | KY
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