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General NPI Number Information
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NPI Number | 1730078437
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Entity Type | Organization
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Legal Business Name | VINEYARD HOSPICE, LLC
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 225 CREEKSTONE RDG STE 25
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City | WOODSTOCK
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State | GA
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Zip | 30188-3744
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Country | US
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Telephone | 470-964-1125
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Fax | 470-945-1179
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Provider Business Mailing Address
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Address Line | 225 CREEKSTONE RDG STE 25
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City | WOODSTOCK
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State | GA
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Zip | 30188-3744
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Country | US
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Telephone | 470-964-1125
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Fax | 470-945-1179
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. BRANDON DARRELL NEAL
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Credential |
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Telephone | 470-964-1125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Emergency Medicine) Physician
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License Number |
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License Number State |
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