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General NPI Number Information
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NPI Number | 1013834225
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Entity Type | Organization
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Legal Business Name | ENNOBLE HOSPICE TX LLC
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Dates
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Enumeration Date | 06/30/2026
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Last Update Date | 06/30/2026
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Provider Practice Location Address
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Address Line | 8416 OLD MCGREGOR RD
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City | WACO
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State | TX
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Zip | 76712-6494
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Country | US
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Telephone | 254-414-7956
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Fax | 866-610-2168
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Provider Business Mailing Address
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Address Line | 2 UNIVERSITY PLZ STE 204
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City | HACKENSACK
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State | NJ
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Zip | 07601-6211
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Country | US
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Telephone | 201-956-8233
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KUSHABHADRA DAS
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Credential |
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Telephone | 862-821-9010
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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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