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General NPI Number Information
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NPI Number | 1962873927
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Entity Type | Organization
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Legal Business Name | SHAMIN-HOPEWELL ASSISTED LIVING
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Dates
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Enumeration Date | 10/15/2015
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Last Update Date | 10/15/2015
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Provider Practice Location Address
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Address Line | 5301 PLAZA DR
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City | HOPEWELL
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State | VA
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Zip | 23860-7305
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Country | US
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Telephone | 804-458-5830
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Fax | 804-458-5305
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Provider Business Mailing Address
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Address Line | 2000 WARE BOTTOM SPRING RD
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City | CHESTER
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State | VA
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Zip | 23836-4200
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Country | US
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Telephone | 804-796-2038
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Fax | 804-796-2394
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Authorized Official
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Title or Position | VICE PRESIDENT OF OPERATIONS
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Name | MRS. LEIGH P BURKE
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Credential | MS
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Telephone | 804-796-2038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | ALF1058375
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License Number State | VA
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