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General NPI Number Information
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NPI Number | 1952055584
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Entity Type | Organization
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Legal Business Name | HOSPICE OF THE BLUEGRASS, INC
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Dates
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Enumeration Date | 02/11/2022
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | 2409 MEMBERS WAY
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City | LEXINGTON
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State | KY
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Zip | 40504-3360
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Country | US
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Telephone | 859-276-5344
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Fax | 859-296-4101
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Provider Business Mailing Address
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Address Line | 1733 HARRODSBURG RD
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City | LEXINGTON
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State | KY
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Zip | 40504-3617
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Country | US
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Telephone | 859-276-5344
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Fax | 859-296-4101
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Authorized Official
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Title or Position | CFO/VP OF FINANCE
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Name | HOLLY HODGE
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Credential | CPA
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Telephone | 859-296-6826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State |
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