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General NPI Number Information
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NPI Number | 1861495954
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Entity Type | Organization
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Legal Business Name | HERITAGE HOSPICE, INC.
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 02/07/2017
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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 | 859-236-6152
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Provider Business Mailing Address
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Address Line | PO BOX 1213
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City | DANVILLE
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State | KY
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Zip | 40423-1213
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Country | US
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Telephone | 859-236-2425
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Fax | 859-236-6152
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. JANELLE LANE WHEELER
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Credential | L.C.S.W.
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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 | 400010
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 364SA2100X
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Taxonomy Name | Acute Care Clinical Nurse Specialist
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License Number | 400010
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | 400010
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 364SC2300X
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Taxonomy Name | Chronic Care Clinical Nurse Specialist
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License Number | 400010
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 364SG0600X
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Taxonomy Name | Gerontology Clinical Nurse Specialist
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License Number | 400010
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License Number State | KY
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Taxonomy #6
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Taxonomy Code | 364SL0600X
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Taxonomy Name | Long-Term Care Clinical Nurse Specialist
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License Number | 400010
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License Number State | KY
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Taxonomy #7
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 400010
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License Number State | KY
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