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NPI 1053904003

NPI 1053904003 : TRINITY HOSPICE 2, LLC : RICHMOND, VA

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General NPI Number Information
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    NPI Number           |    1053904003
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRINITY HOSPICE 2, LLC 
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Dates
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    Enumeration Date     |    02/19/2021
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    Last Update Date     |    03/08/2022
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Provider Practice Location Address
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    Address Line         |    812 MOOREFIELD PARK DRIVE, STE 110 
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    City                 |    RICHMOND
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    State                |    VA
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    Zip                  |    23236-3692
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    Country              |    US
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    Telephone            |    804-613-4529
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    Fax                  |    804-613-4531
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Provider Business Mailing Address
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    Address Line         |    540 E APPLEBY RD STE 104 
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    City                 |    FAYETTEVILLE
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    State                |    AR
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    Zip                  |    72703-4114
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     WILLIAM  MCARDLE 
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    Credential           |    
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    Telephone            |    804-613-4529
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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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