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General NPI Number Information
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NPI Number | 1174556641
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Entity Type | Organization
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Legal Business Name | KANAWHA HOSPICE CARE, INC
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 01/14/2022
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Provider Practice Location Address
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Address Line | 1606 KANAWHA BLVD W
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City | CHARLESTON
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State | WV
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Zip | 25387-2536
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Country | US
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Telephone | 304-768-8523
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Fax | 304-768-6840
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Provider Business Mailing Address
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Address Line | 1606 KANAWHA BLVD W
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City | CHARLESTON
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State | WV
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Zip | 25387-2536
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Country | US
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Telephone | 304-768-8523
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Fax | 304-768-8627
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. CHRISTOPHER RAWLINGS
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Credential |
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Telephone | 304-768-8523
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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 | 0186990
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License Number State | WV
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