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General NPI Number Information
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NPI Number | 1932401494
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Entity Type | Organization
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Legal Business Name | HASLUP HOSPICE ENTERPRISES, LTD
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Dates
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Enumeration Date | 12/03/2010
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Last Update Date | 03/22/2023
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Provider Practice Location Address
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Address Line | 516 S INDEPENDENCE BLVD STE 106
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-1153
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Country | US
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Telephone | 757-466-1401
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Fax | 757-466-8223
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Provider Business Mailing Address
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Address Line | 103 S PANTOPS DR SUITE 205
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-8617
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Country | US
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Telephone | 434-295-5501
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Fax | 434-295-4938
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID N. HASLUP
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Credential |
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Telephone | 434-295-5501
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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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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State | VA
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