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General NPI Number Information
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NPI Number | 1831546886
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Entity Type | Organization
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Legal Business Name | HERITAGE PALLIATIVE SERVICES, INC.
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Dates
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Enumeration Date | 05/19/2016
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Last Update Date | 05/19/2016
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Provider Practice Location Address
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Address Line | 120 ENTERPRISE DR
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City | DANVILLE
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State | KY
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Zip | 40422-1870
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Country | US
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Telephone | 859-236-2425
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Fax |
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Provider Business Mailing Address
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Address Line | 120 ENTERPRISE DR
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City | DANVILLE
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State | KY
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Zip | 40422-1870
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Country | US
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Telephone | 859-236-2425
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. NANCY JANELLE WHEELER
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Credential | LCSW
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Telephone | 859-236-2425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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