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General NPI Number Information
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NPI Number | 1063643054
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Entity Type | Organization
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Legal Business Name | INTEGRACARE OF WEST TEXAS-HOSPICE, LLC
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Dates
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Enumeration Date | 08/07/2009
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Last Update Date | 10/11/2023
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Provider Practice Location Address
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Address Line | 3232 HOBBS RD STE A
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City | AMARILLO
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State | TX
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Zip | 79109-3224
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Country | US
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Telephone | 806-372-7696
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Fax | 806-372-2825
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Provider Business Mailing Address
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Address Line | PO BOX 4060
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City | MOORESVILLE
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State | NC
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Zip | 28117-4060
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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 | VP OF LICENSURE
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Name | MRS. JANET COMBS
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Credential |
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Telephone | 704-664-2876
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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 | 012961
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License Number State | TX
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