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General NPI Number Information
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NPI Number | 1174639702
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Entity Type | Organization
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Legal Business Name | VITAS HEALTHCARE CORPORATION ATLANTIC
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 07/23/2009
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Provider Practice Location Address
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Address Line | 7400 BEAUFONT SPRINGS DR SUITE 300
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City | RICHMOND
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State | VA
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Zip | 23225-5556
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Country | US
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Telephone | 804-672-4462
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Fax | 804-672-4435
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Provider Business Mailing Address
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Address Line | 7400 BEAUFONT SPRINGS DR SUITE 300
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City | RICHMOND
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State | VA
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Zip | 23225-5556
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Country | US
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Telephone | 804-672-4462
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Fax | 804-672-4435
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | DEIRDRE LAWE
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Credential |
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Telephone | 305-350-6925
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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 | APPLIES FOR
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License Number State | VA
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