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General NPI Number Information
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NPI Number | 1083152763
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Entity Type | Organization
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Legal Business Name | ELIM HOSPICE LLC
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Dates
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Enumeration Date | 02/02/2017
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Last Update Date | 03/26/2020
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Provider Practice Location Address
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Address Line | 18601 LYNDON B JOHNSON FWY STE 110
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City | MESQUITE
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State | TX
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Zip | 75150-5629
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Country | US
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Telephone | 469-340-2149
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Fax | 972-288-1764
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Provider Business Mailing Address
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Address Line | 18601 LYNDON B JOHNSON FWY STE 110
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City | MESQUITE
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State | TX
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Zip | 75150-5629
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Country | US
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Telephone | 469-340-2149
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Fax | 972-288-1764
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Authorized Official
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Title or Position | CEO
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Name | GEORGE THOMAS
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Credential |
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Telephone | 469-340-2149
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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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