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General NPI Number Information
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NPI Number | 1134010713
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Entity Type | Organization
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Legal Business Name | SOLACE HOSPICE OF SOUTHWEST VIRGINIA
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 225 SPRING MEADOW DR
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City | WYTHEVILLE
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State | VA
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Zip | 24382-2552
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Country | US
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Telephone | 434-660-5831
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Fax |
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Provider Business Mailing Address
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Address Line | 515 E LIBERTY ST
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City | WYTHEVILLE
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State | VA
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Zip | 24382-3222
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Country | US
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Telephone | 540-320-2011
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHANNA L WESTERN
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Credential | MSN, RN, CHPN
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Telephone | 434-660-5831
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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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