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General NPI Number Information
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NPI Number | 1053053082
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Entity Type | Organization
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Legal Business Name | SANTA FE HOSPICE LLC
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Dates
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Enumeration Date | 04/11/2022
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Last Update Date | 06/22/2022
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Provider Practice Location Address
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Address Line | 119 W. RAILROAD AVE. SUITE B
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City | BENAVIDES
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State | TX
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Zip | 78341
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Country | US
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Telephone | 361-877-9098
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 507
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City | BENAVIDES
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State | TX
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Zip | 78341-0507
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MS. PRISCILLA ANN GARZA
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Credential |
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Telephone | 361-256-3494
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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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