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General NPI Number Information
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NPI Number | 1306843651
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Entity Type | Organization
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Legal Business Name | BLUE RIDGE HOSPICE INC.
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Dates
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Enumeration Date | 07/01/2005
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 333 W CORK ST #405
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City | WINCHESTER
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State | VA
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Zip | 22601-3870
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Country | US
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Telephone | 540-313-9200
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Fax | 540-678-0772
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Provider Business Mailing Address
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Address Line | 333 W CORK ST #405
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City | WINCHESTER
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State | VA
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Zip | 22601-3870
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Country | US
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Telephone | 540-313-9200
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Fax | 540-678-0772
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Authorized Official
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Title or Position | DIR. COMPLIANCE, QUALITY, & EDUCATI
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Name | STEPHEN PAUL JONES
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Credential |
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Telephone | 540-313-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 1103813
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 050315
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License Number State | VA
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