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General NPI Number Information
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NPI Number | 1417944075
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Entity Type | Organization
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Legal Business Name | CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY
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Dates
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Enumeration Date | 09/29/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | US HWY 27 AND 354 5700 CHIPLEY VILLAGE
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City | PINE MOUNTAIN
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State | GA
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Zip | 31822-0475
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Country | US
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Telephone | 706-663-0988
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Fax | 706-663-0687
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Provider Business Mailing Address
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Address Line | PO BOX 475 5700 CHIPLEY VILLAGE
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City | PINE MOUNTAIN
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State | GA
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Zip | 31822-0475
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Country | US
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Telephone | 706-663-0988
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Fax | 706-663-0687
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Authorized Official
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Title or Position | DIRECTOR OF HOME HEALTH
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Name | DEBRA ANN VEAL
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Credential |
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Telephone | 334-756-1950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 072-261-H
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License Number State | GA
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