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General NPI Number Information
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NPI Number | 1386636397
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Entity Type | Organization
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Legal Business Name | HOSPICE OF THE VALLEY
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 01/16/2013
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Provider Practice Location Address
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Address Line | 4850 UNION AVE
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City | SAN JOSE
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State | CA
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Zip | 95124-5156
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Country | US
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Telephone | 408-559-5600
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Fax | 408-559-3520
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Provider Business Mailing Address
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Address Line | 4850 UNION AVE
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City | SAN JOSE
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State | CA
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Zip | 95124-5156
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Country | US
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Telephone | 408-559-5600
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Fax | 408-559-5320
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MS. SALLY ADELUS
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Credential |
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Telephone | 408-559-5600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number | 070000396
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License Number State | CA
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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 | 070000396
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License Number State | CA
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