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General NPI Number Information
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NPI Number | 1023478773
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Entity Type | Organization
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Legal Business Name | A FRIENDLY PALLIATIVE AND HOSPICE CARE LLC
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Dates
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Enumeration Date | 02/23/2016
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Last Update Date | 02/23/2016
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Provider Practice Location Address
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Address Line | 17311 DALLAS PKWY SUITE 232
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City | DALLAS
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State | TX
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Zip | 75248-1141
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Country | US
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Telephone | 972-248-8282
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Fax |
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Provider Business Mailing Address
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Address Line | 17311 DALLAS PKWY SUITE 232
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City | DALLAS
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State | TX
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Zip | 75248-1141
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Country | US
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Telephone | 972-248-8282
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANI GOPALAKRISHNAN
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Credential |
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Telephone | 972-248-8282
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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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