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General NPI Number Information
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NPI Number | 1013418797
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Entity Type | Organization
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Legal Business Name | RGV HOSPICE CARE, LLC
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Dates
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Enumeration Date | 02/27/2018
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Last Update Date | 09/27/2021
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Provider Practice Location Address
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Address Line | 2625 N JOSEY LN STE 301
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City | CARROLLTON
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State | TX
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Zip | 75007-5546
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Country | US
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Telephone | 469-833-3373
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Fax | 469-643-1960
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Provider Business Mailing Address
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Address Line | 4525 WILSHIRE BLVD STE 210
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City | LOS ANGELES
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State | CA
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Zip | 90010-3846
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Country | US
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Telephone | 214-543-6581
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MR. DAVID GARETZ
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Credential |
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Telephone | 213-395-1848
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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 | TX
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