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General NPI Number Information
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NPI Number | 1952990640
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Entity Type | Organization
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Legal Business Name | VALLEY OF HOPE HOSPICE, LLC
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Dates
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Enumeration Date | 01/16/2021
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 3603 BRAMBLETON AVE
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City | ROANOKE
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State | VA
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Zip | 24018
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Country | US
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Telephone | 540-682-4323
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Fax |
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Provider Business Mailing Address
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Address Line | 5325 FOX RIDGE RD
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City | ROANOKE
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State | VA
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Zip | 24018-8755
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Country | US
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Telephone | 828-423-3695
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SOHEIR BOSHRA
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Credential | MD
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Telephone | 540-521-3368
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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 |
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License Number State |
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