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General NPI Number Information
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NPI Number | 1851307326
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Entity Type | Organization
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Legal Business Name | HOSPICE OF THE RAPIDAN, INC.
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 10/16/2014
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Provider Practice Location Address
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Address Line | 1200 SUNSET LN SUITE 2320
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City | CULPEPER
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State | VA
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Zip | 22701
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Country | US
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Telephone | 540-825-4840
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Fax | 540-825-7752
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Provider Business Mailing Address
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Address Line | PO BOX 1715
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City | CULPEPER
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State | VA
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Zip | 22701
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Country | US
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Telephone | 540-825-4840
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Fax | 540-825-7752
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. KATHY R CLEMENTS
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Credential |
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Telephone | 540-825-4840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | HSP-0640
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License Number State | VA
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