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General NPI Number Information
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NPI Number | 1184719171
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Entity Type | Organization
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Legal Business Name | HOSPICE OF THE PIEDMONT, INC.
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 09/27/2012
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Provider Practice Location Address
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Address Line | 675 PETER JEFFERSON PKWY SUITE 300
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-8618
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Country | US
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Telephone | 434-817-6900
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Fax | 434-245-0302
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Provider Business Mailing Address
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Address Line | 675 PETER JEFFERSON PKWY SUITE 300
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-8618
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Country | US
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Telephone | 434-817-6900
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Fax | 434-245-0302
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. JAMES AVERY
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Credential |
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Telephone | 434-817-5900
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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 | HSP06101
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License Number State | VA
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