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General NPI Number Information
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NPI Number | 1558709709
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Entity Type | Organization
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Legal Business Name | HOSANNA THERAPEUTIC SERVICES, LLC
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Dates
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Enumeration Date | 06/10/2013
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Last Update Date | 06/10/2013
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Provider Practice Location Address
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Address Line | 700 CRABAPPLE ST UNIT A
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City | PORTSMOUTH
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State | VA
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Zip | 23704-4133
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Country | US
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Telephone | 888-366-6562
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Fax | 888-366-6562
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Provider Business Mailing Address
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Address Line | 700 CRABAPPLE ST UNIT A
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City | PORTSMOUTH
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State | VA
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Zip | 23704-4133
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Country | US
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Telephone | 888-366-6562
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Fax | 888-366-6562
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | TABITHA ROWLAND
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Credential |
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Telephone | 888-366-6562
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | HCO13977
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HCO13977
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License Number State | VA
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